| Gordon A Harris Ph D & Associates Inc | |
|
5400 N Main St Dayton OH 45415-3453 | |
| (937) 274-2226 | |
| (937) 274-2074 |
| Full Name | Gordon A Harris Ph D & Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5400 N Main St, Dayton, Ohio |
| Authorized Official Name and Position | Jennifer Thompson (OFFICE MANAGER) |
| Authorized Official Contact | 9372742226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon A Harris Ph D & Associates Inc 5400 N Main St Dayton OH 45415-3453 Ph: (937) 274-2226 | Gordon A Harris Ph D & Associates Inc 5400 N Main St Dayton OH 45415-3453 Ph: (937) 274-2226 |
| NPI Number | 1730347980 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 9739113895 |
|---|---|
| Medicare Enrollment ID | O20081212000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730347980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Gordon A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942260633 PECOS PAC ID: 3971664772 Enrollment ID: I20081212000000 |
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