Individual
DR. PAUL VIVIAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006095
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633868
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/04/2007
Last updated
01/19/2022
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