Provider Demographics
NPI:1053379982
Name:HARRIS, LAKAJAI HILL (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAKAJAI
Middle Name:HILL
Last Name:HARRIS
Suffix:
Gender:F
Credentials: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:PO BOX 2623
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-2623
Mailing Address - Country:US
Mailing Address - Phone:252-945-6220
Mailing Address - Fax:252-752-4854
Practice Address - Street 1:4004 JARED COURT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:28586
Practice Address - Country:US
Practice Address - Phone:252-945-6220
Practice Address - Fax:252-752-4854
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4847235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC127195OtherMEDCOST
NC7412408Medicaid
NC141FHOtherBLUECROSS BLUESHIELD