Individual
BETHANY LUANNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
28210 PASEO DR STE 190, WESLEY CHAPEL, FL 33543-5377
(813) 430-2101
Mailing address
28210 PASEO DR STE 190, WESLEY CHAPEL, FL 33543-5377
(813) 430-2101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY12002
FL
Other
Enumeration date
02/07/2023
Last updated
09/13/2023
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