| Doctor Name: | DR. SUZANNE HARRIS |
| NPI Number: | 1669581583 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 6 Dunlap Ct Savoy, IL - 618749501 |
| Business Phone Number: | 2173517486 |
| Business Fax Number: | |
| Mailing Address: | 405 W Vermont Ave, URBANA |
| State: | IL |
| Postal Code: | 618014928 |
| Phone Number: | 2173443951 |
| Fax Number: | 2173444536 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |