Provider Demographics
NPI:1730268806
Name:WHITWORTH, HARMONY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:
Last Name:WHITWORTH
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 1:550 E 1400 N STE W
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-2407
Mailing Address - Country:US
Mailing Address - Phone:435-716-6440
Mailing Address - Fax:435-716-6441
Practice Address - Street 1:4401 HARRISON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-3195
Practice Address - Country:US
Practice Address - Phone:801-387-7615
Practice Address - Fax:801-387-7667
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT303225-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist