Charles N Harris Phd A Psychological Corp | |
4815 Thomas Rd Sebastopol CA 95472-9764 | |
(707) 829-5170 | |
Not Available |
Full Name | Charles N Harris Phd A Psychological Corp |
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Speciality | Psychologist |
Location | 4815 Thomas Rd, Sebastopol, California |
Authorized Official Name and Position | Charles N Harris (PRESIDENT) |
Authorized Official Contact | 7078295170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles N Harris Phd A Psychological Corp 4815 Thomas Rd Sebastopol CA 95472-9764 Ph: (707) 829-5170 | Charles N Harris Phd A Psychological Corp 4815 Thomas Rd Sebastopol CA 95472-9764 Ph: (707) 829-5170 |
NPI Number | 1114100500 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 12/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114100500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY3864 (California) | Primary |
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