Individual
CELESTA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
11010 DOMAIN DR, #11331, AUSTIN, TX 78758-7711
(817) 707-7637
Mailing address
11010 DOMAIN DR, #11331, AUSTIN, TX 78758-7711
(817) 707-7637
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
36729
TX
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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