Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 35SI00312800 | NJ |
N | 103T00000X | Psychologist | 35SI00312800 | NJ |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 35SI00312800 | NJ |
N | 103TA0700X | Adult Development & Aging Psychologist | 35SI00312800 | NJ |
N | 103TC1900X | Counseling Psychologist | 35SI00312800 | NJ |
N | 103TF0000X | Family Psychologist | 35SI00312800 | NJ |
N | 103TH0004X | Health Psychologist | 35SI00312800 | NJ |
N | 103TP2701X | Group Psychotherapist | 35SI00312800 | NJ |
NPI | 1285842484 |
---|---|
Provider Name | Dr. Jeffrey B Harrison |
First Address | Flemington, NJ 08822-1615 |
Second Address | Flemington, NJ 08822-1615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2007 |
Last Update Date | 08/07/2007 |