Organization
HIAWATHA HARRIS, M.D., INC.
Active
Other names
Pathways To Wellness Medication Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC HURSKIN (CHIEF OPERATING OFFICER)
(925) 520-0005
Entity
Organization
Contact information
Practice address
5674 STONERIDGE DR STE 119, PLEASANTON, CA 94588-8536
(925) 520-0005
(925) 520-0010
Mailing address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005
(925) 520-0010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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