| Charles N Harris Phd A Psychological Corp | |
|
4815 Thomas Rd Sebastopol CA 95472-9764 | |
| (707) 829-5170 | |
| Not Available |
| Full Name | Charles N Harris Phd A Psychological Corp |
|---|---|
| Speciality | Psychologist |
| Location | 4815 Thomas Rd, Sebastopol, California |
| Authorized Official Name and Position | Charles N Harris (PRESIDENT) |
| Authorized Official Contact | 7078295170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles N Harris Phd A Psychological Corp 4815 Thomas Rd Sebastopol CA 95472-9764 Ph: (707) 829-5170 | Charles N Harris Phd A Psychological Corp 4815 Thomas Rd Sebastopol CA 95472-9764 Ph: (707) 829-5170 |
| NPI Number | 1114100500 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114100500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY3864 (California) | Primary |
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Cultivation Liberation Family Counseling And Psychotherapy Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7808 Stefenoni Ct Unit B, Sebastopol, CA 95472 Phone: 707-666-5170 |