Individual
RICHARD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
DEPARTMENT OF VETERANS AFFAIRS, 881 MAIN ST., FITCHBURG, MA 01420-3057
(978) 342-9781
Mailing address
DEPARTMENT OF VETERANS AFFAIRS, 881 MAIN ST., FITCHBURG, MA 01420-3057
(978) 342-9781
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
682
AK
103TC0700X
Clinical Psychologist
Primary
11470
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1624584
—
AK
Enumeration date
02/24/2009
Last updated
10/16/2023
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