Healthcare Provider Details

I. General information

NPI: 1437167491
Provider Name (Legal Business Name): PAUL FRANCIS HARRIS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 NORTH ST
MANCHESTER NH
03104-3029
US

IV. Provider business mailing address

61 NORTH ST
MANCHESTER NH
03104-3029
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-7582
  • Fax:
Mailing address:
  • Phone: 603-668-7582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberNH452
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: