Individual
JOHN ROBERT HARRISON
Active
Individual
JOHN ROBERT HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-PSY-LIC-226
MT
103T00000X
Psychologist
PSY-PSY-LIC-226
MT
103TS0200X
School Psychologist
59040
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000052321
BCBS PROVIDER NUMBER
MT
05
—
0492524
—
MT
Enumeration date
07/13/2006
Last updated
04/20/2025
Update your record
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