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Organization

TED A. HARRIS, PHD, LICENSED PSYCHOLOGIST, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TED A HARRIS PHD (PSYCHOLOGIST)
(801) 265-3895
Entity
Organization

Contact information

Practice address
5691 S REDWOOD RD # 16, TAYLORSVILLE, UT 84123-5322
(801) 265-3895
(801) 263-1265
Mailing address
5691 S REDWOOD RD # 16, TAYLORSVILLE, UT 84123-5322
(801) 265-3895
(801) 263-1265

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
91-116205-2501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52806017403001
BCBS OF UTAH
UT
Enumeration date
08/19/2006
Last updated
11/24/2008
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