Provider Demographics
NPI:1447812664
Name:HARP, JENNIFER M (MS ED)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:HARP
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5237 SEARSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-6416
Mailing Address - Country:US
Mailing Address - Phone:845-800-6704
Mailing Address - Fax:
Practice Address - Street 1:5237 SEARSVILLE RD
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-6416
Practice Address - Country:US
Practice Address - Phone:845-800-6704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist