Harris, Cathryn Irena

Harris, Cathryn Irena is an individual health care provider with primary practice located at 12530 10Th St Suite D, Chino CA 91710-3520. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harris, Cathryn Irena can be contacted via phone (909) 596-3577.

Contact Information

Primary practice address
12530 10Th St Suite D Chino CA 91710-3520
Phone: (909) 596-3577
Fax: (909) 593-6456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13199 California

Profile Details

NPI number 1114084118
LBN Legal business name Harris, Cathryn Irena
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114084118 NPPES
California Other OPL131990 BLUE SHIELD OF CALIFORNIA
California Other ZZZ07821Z BLUE SHIELD OF CALIFORNIA

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