Harris, Shay L

Harris, Shay L is an individual health care provider with primary practice located at 17840 Cumberland Rd , Noblesville IN 46060-5409. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Harris, Shay L can be contacted via phone (317) 371-0329.

Contact Information

Primary practice address
17840 Cumberland Rd Noblesville IN 46060-5409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34008803A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2389123 Wisconsin

Profile Details

NPI number 1154498509
LBN Legal business name Harris, Shay L
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated May 14th, 2020 - about 6 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 1154498509 NPPES
Wisconsin MEDICAID 39740700

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