Doctor Name: | PAUL JAMES HARRISON |
NPI Number: | 1255454799 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 350 W Sahuarita Rd Sahuarita, AZ - 856299000 |
Business Phone Number: | 5206253502 |
Business Fax Number: | 5202991870 |
Mailing Address: | 11899 E Ponce De Leon, TUCSON |
State: | AZ |
Postal Code: | 857498672 |
Phone Number: | 5207491619 |
Fax Number: | 5207491636 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |