Individual
DR. ROGER R. HARRISON
Active
Individual
DR. ROGER R. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
B10000777
DE
103TC0700X
Clinical Psychologist
Primary
PS020166
PA
103TP2701X
Group Psychotherapy Psychologist
B10000777
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102087416
—
PA
05
—
147192
—
NJ
05
—
4138473
—
MD
Enumeration date
11/28/2007
Last updated
06/17/2024
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