Individual
FREDRIC ALAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 W 96TH ST, NEW YORK, NY 10025-6607
(732) 272-3046
Mailing address
23 FARMEDGE LN, TINTON FALLS, NJ 07724-2705
(732) 272-3046
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6175
NY
Other
Enumeration date
08/29/2006
Last updated
11/15/2024
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