Organization
CHARLES N HARRIS PHD A PSYCHOLOGICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N HARRIS PHD (PRESIDENT)
(707) 829-5170
Entity
Organization
Contact information
Practice address
4815 THOMAS RD, SEBASTOPOL, CA 95472-9764
(707) 829-5170
Mailing address
4815 THOMAS RD, SEBASTOPOL, CA 95472-9764
(707) 829-5170
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY3864
CA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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