Individual
MICHAEL DEWITT HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1501 CROCKER ST, SUITE 1, HOUSTON, TX 77019-4340
(713) 504-7772
(832) 209-7290
Mailing address
PO BOX 7353, HOUSTON, TX 77248-7353
(713) 504-7772
(832) 209-7290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161010-01
—
TX
Enumeration date
04/11/2007
Last updated
01/03/2022
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