| Doctor Name: | MRS. MYRA E HARRIS |
| NPI Number: | 1497099980 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 34007124A |
| Business Practice Address: | 1443 9th St Tell City, IN - 475861407 |
| Business Phone Number: | 8125477905 |
| Business Fax Number: | 8125475146 |
| Mailing Address: | Po Box 769, JASPER |
| State: | IN |
| Postal Code: | 475470769 |
| Phone Number: | 8124823020 |
| Fax Number: | 8124826409 |
| NPI Enumeration Date: | 11/21/2012 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34007124A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |