Provider Demographics
NPI:1164062287
Name:HARRAH, BETTY (LHAD)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:HARRAH
Suffix:
Gender:F
Credentials:LHAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3176 CARTANDA AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1668
Mailing Address - Country:US
Mailing Address - Phone:805-857-2072
Mailing Address - Fax:
Practice Address - Street 1:9430 W LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-8312
Practice Address - Country:US
Practice Address - Phone:702-527-6066
Practice Address - Fax:702-527-6068
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8512237700000X
NVHA4044237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist