Individual
DR. GORDON A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008354
ANTHEM PIN #
OH
01
—
0004126935
AETNA PROVIDER #
OH
01
—
054917
VALUE OPTIONS PROVIDER #
OH
Enumeration date
03/25/2006
Last updated
07/13/2026
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