Individual
PATRICIA L HARRALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 662-3971
Mailing address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 662-3971
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01062486A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64300759
—
KY
Enumeration date
03/08/2007
Last updated
10/03/2011
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