Individual
MR. CHARLES NOMA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4815 THOMAS RD, SEBASTOPOL, CA 95472-9764
(707) 829-5170
(707) 829-5170
Mailing address
4815 THOMAS RD, SEBASTOPOL, CA 95472-9764
(707) 829-5170
(707) 829-5170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 3860
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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