Doctor Name: | MS. BRENDA TAYLOR HARRIS |
NPI Number: | 1124327218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 7688434-3502 |
Business Practice Address: | 3401 Engineer Ln Seaside, CA - 939557200 |
Business Phone Number: | 8318833800 |
Business Fax Number: | 8318833808 |
Mailing Address: | 3401 Engineer Ln, SEASIDE |
State: | CA |
Postal Code: | 939557200 |
Phone Number: | 8318833800 |
Fax Number: | 8318833808 |
NPI Enumeration Date: | 03/15/2011 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 7688434-3502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |