Healthcare Provider Details

I. General information

NPI: 1336188697
Provider Name (Legal Business Name): FRANCIS C HARRIS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 SIDNEY ST
PITTSBURGH PA
15203-1717
US

IV. Provider business mailing address

1809 SIDNEY ST
PITTSBURGH PA
15203-1717
US

V. Phone/Fax

Practice location:
  • Phone: 412-381-9141
  • Fax: 412-381-7737
Mailing address:
  • Phone: 412-381-9141
  • Fax: 412-381-7737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPS004517L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS004517L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: