Individual
DR. AMANDA VIOLA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1045 W GLEN OAKS LN STE 1, MEQUON, WI 53092-3477
(262) 241-8100
Mailing address
3180 PINECREST CT, MURRYSVILLE, PA 15668-1405
(570) 762-6176
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3897-57
WI
103T00000X
Psychologist
PS020083
PA
Other
Enumeration date
08/12/2020
Last updated
04/01/2024
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