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Individual

MR. PATRICK T HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD.

Contact information

Practice address
100 FOUNTAIN AVENUE, SUITE 301, PADUCAH, KY 42001-2774
(270) 443-8195
(270) 444-7922
Mailing address
195 IDLEWILD DR, PADUCAH, KY 42001-5323
(270) 442-1431

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
687
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89000152
KY
Enumeration date
07/21/2005
Last updated
07/08/2007
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