Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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William Harris, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1649163254

William Harris, CCC-SLP is a Qualified Speech Language Pathologist in Gulfport, Mississippi. Qualified in 2024, 2 years ago. Practices with Southern Physical Therapy Clinic Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2025
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

15073 Northrup Cuevas Rd
Gulfport, MS 39503-8213
Phone: (228) 697-6084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S-5226 (MS)

Record details

NPI number1649163254
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address15073 Northrup Cuevas Rd, Gulfport, MS 39503-8213

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southern Physical Therapy Clinic Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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