Provider Demographics
NPI:1588358766
Name:BERNS-HARPER, ISABELLA GRACE (BS, SLPA/L)
Entity type:Individual
Prefix:MS
First Name:ISABELLA
Middle Name:GRACE
Last Name:BERNS-HARPER
Suffix:
Gender:F
Credentials:BS, SLPA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S RIORDAN RANCH ST APT 72
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-6363
Mailing Address - Country:US
Mailing Address - Phone:480-694-6583
Mailing Address - Fax:
Practice Address - Street 1:705 N LEROUX ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3225
Practice Address - Country:US
Practice Address - Phone:480-331-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA145042355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant