Individual
DR. RANDALL JAY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1765 GOUCHER ST, JOHNSTOWN, PA 15905-1101
(814) 535-8586
Mailing address
349 N MCKEAN ST, BUTLER, PA 16001-4928
(814) 535-8586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017283
PA
Other
Enumeration date
05/08/2008
Last updated
12/22/2016
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