Individual
DR. CASEY ALYSON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
53 W JACKSON BLVD, SUITE 602, CHICAGO, IL 60604-3606
(312) 405-1254
Mailing address
1314 W DIVERSEY PKWY, CHICAGO, IL 60614-1208
(312) 405-1254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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