Individual
DR. BRIAN JOSEPH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
38 GOODWIN PL, NORTHPORT, NY 11768-1214
(631) 754-0215
(631) 754-0215
Mailing address
PO BOX 115, NORTHPORT, NY 11768-0115
(631) 754-0215
(631) 754-0215
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
018261
NY
103T00000X
Psychologist
Primary
018261
NY
103TB0200X
Cognitive & Behavioral Psychologist
018261
NY
103TS0200X
School Psychologist
7398
NY
Other
Enumeration date
02/07/2007
Last updated
02/25/2010
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