Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY3355 | FL |
Y | 103TC0700X | Clinical Psychologist | PY3355 | FL |
NPI | 1013046945 |
---|---|
Provider Name | Rick A Harris |
First Address | Weston, FL 33326 |
Second Address | Weston, FL 33326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 08/07/2007 |