Provider Demographics
NPI:1821393992
Name:HARRISON, NARA C (MS/SLP)
Entity type:Individual
Prefix:
First Name:NARA
Middle Name:C
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MS/SLP
Other - Prefix:
Other - First Name:NARA
Other - Middle Name:C
Other - Last Name:BROOKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/SLP
Mailing Address - Street 1:1031 SAYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:HADDAM
Mailing Address - State:CT
Mailing Address - Zip Code:06438-1239
Mailing Address - Country:US
Mailing Address - Phone:860-452-2474
Mailing Address - Fax:
Practice Address - Street 1:1031 SAYBROOK RD
Practice Address - Street 2:
Practice Address - City:HADDAM
Practice Address - State:CT
Practice Address - Zip Code:06438-1239
Practice Address - Country:US
Practice Address - Phone:860-452-2474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2202006154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist