Wellformed AI

NPI 1346845773 · live from the CMS NPI Registry

Destiny Marie Harris

Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1346845773, active.

NPI record

NPI1346845773 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location161 Klevin St Ste 103, Anchorage, AK 99508
Practice phone907-561-8060
Mailing address21600 Oxnard St, Woodland Hills, CA 91367
EnumeratedDecember 3, 2020
Last updatedJuly 26, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X238059 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.