Individual
DR. CHARLES EUGENE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5427-A GEX RD, DIAMONDHEAD, MS 39525
(228) 255-4832
Mailing address
1217 NELSON DR, OCEAN SPRINGS, MS 39564-3032
(228) 875-7648
(228) 872-9493
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36-620
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04804801
—
MS
Enumeration date
05/02/2007
Last updated
07/08/2007
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