Doctor Name: | MS. BEVERLY ANN HARRIS |
NPI Number: | 1003810615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CEO |
License Number: | |
Business Practice Address: | 8706 Contee Rd Suite 13 Laurel, MD - 207081939 |
Business Phone Number: | 3014981001 |
Business Fax Number: | 3014981001 |
Mailing Address: | 8706 Contee Rd, Suite 13 LAUREL |
State: | MD |
Postal Code: | 207081939 |
Phone Number: | 3014981001 |
Fax Number: | 3014981001 |
NPI Enumeration Date: | 06/10/2005 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744R1103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Research Data Abstracter/Coder |
Taxonomy Definition: |