Harris, Gordon A

Harris, Gordon A is an individual health care provider with primary practice located at 5400 N Main St , Dayton OH 45415-3453. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Harris, Gordon A can be contacted via phone (937) 274-2226.

Contact Information

Primary practice address
5400 N Main St Dayton OH 45415-3453
Phone: (937) 274-2226
Fax: (937) 274-2074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2051 Ohio

Profile Details

NPI number 1942260633
LBN Legal business name Harris, Gordon A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
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 1942260633 NPPES
Ohio Other 0004126935 AETNA PROVIDER #
Ohio Other 000000008354 AETNA PROVIDER #
Ohio Other 054917 AETNA PROVIDER #

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