Individual
MAXIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1848 SE 1ST AVE STE 4, FORT LAUDERDALE, FL 33316
(954) 885-9500
(954) 885-9444
Mailing address
1848 SE 1ST AVE STE 4, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 7769
FL
Other
Enumeration date
08/04/2008
Last updated
01/29/2019
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