Individual
DR. ROGER R. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
NEMOURS CHILDRENS CLINIC, P.O. BOX 404112, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
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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