Individual
EMILY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2208 ISLE ROYALE LN, DAVIS, CA 95616-6616
(530) 400-8963
Mailing address
2208 ISLE ROYALE LN, DAVIS, CA 95616-6616
(530) 400-8963
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G053980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G539800
—
CA
Enumeration date
11/23/2005
Last updated
02/15/2013
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