Doctor Name: | REBECCA ANN HARRISON |
NPI Number: | 1831285253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 50940-20 |
Business Practice Address: | 2323 N Lake Dr Department Of Psychiatry, 7th Floor Milwaukee, WI - 532114508 |
Business Phone Number: | 4142911620 |
Business Fax Number: | 4142915969 |
Mailing Address: | 2323 N Lake Dr, Department Of Psychiatry, 7th Floor MILWAUKEE |
State: | WI |
Postal Code: | 532114508 |
Phone Number: | 4142911620 |
Fax Number: | 4142915969 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 50940-20 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |