# BENNETT HARRIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033596176
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 036.154123 | IL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 34.014710 | OH | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 74225 | WI | Yes |

## Other

- **Enumeration date:** 04/27/2015
- **Last updated:** 11/10/2020