Individual ProviderMichelle HarrisonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address23 30th Ave S, Jacksonville Beach, FL 32250-5932(217) 841-3911PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Harrison does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1619027281Provider TypeIndividualFull NameHarrison, MichelleCredentialM.A.GenderFemaleSole ProprietorYesEnumeration Date1/12/2007Last Updated6/9/2008Contact InformationPractice LocationPractice Address23 30th Ave S, Jacksonville Beach, FL 32250-5932Phone(217) 841-3911FaxUnlisted FaxMailing LocationMailing Address23 30th Ave S, Jacksonville Beach, FL 32250-5932PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense242000299IllinoisCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA9496Florida