Provider Demographics
NPI:1992558340
Name:HARNOIS, OLIVIA CECILE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:CECILE
Last Name:HARNOIS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 FENWICK HALL ALY APT 825
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-3135
Mailing Address - Country:US
Mailing Address - Phone:603-489-7059
Mailing Address - Fax:
Practice Address - Street 1:60 FENWICK HALL ALY APT 825
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-3135
Practice Address - Country:US
Practice Address - Phone:603-489-7059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7692235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist