Individual
DR. DIANE MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LCP
Contact information
Practice address
701 27TH ST BLDG 8135, FT. LEE ASAP, FORT LEE, VA 23801-2707
(804) 734-9601
Mailing address
701 27TH ST BLDG 8135, FT. LEE ASAP, FORT LEE, VA 23801-2707
(804) 734-9601
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003726
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030203
—
VA
Enumeration date
04/26/2007
Last updated
02/16/2014
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