Individual
DR. MICHAEL RICHARD HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5 WESTOWNE ST, STE 501, LIBERTY, MO 64068-3512
(816) 781-2110
(816) 781-2312
Mailing address
5 WESTOWNE ST., STE 501, LIBERTY, MO 64068-3512
(816) 781-2110
(816) 781-2312
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00832
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680014553
RAILROAD MEDICARE
—
Enumeration date
01/13/2007
Last updated
01/05/2012
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