Individual
DR. JEANETTE IRENE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 VETERANS DR, MAILSTOP 116B, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
MAILSTOP 116B, VA MEDICAL CENTER, 1 VETERANS DR., MINNEAPOLIS, MN 55417-2323
(612) 725-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4501
MN
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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