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NPI 1396632543

NPI 1396632543 : ELIZABETH HARRIS PHD LLC : BEACHWOOD, OH

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General NPI Number Information
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    NPI Number           |    1396632543
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    Entity Type          |    Organization 
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    Legal Business Name  |    ELIZABETH HARRIS PHD LLC 
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Dates
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    Enumeration Date     |    06/20/2025
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    3401 ENTERPRISE PKWY STE 340 
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    City                 |    BEACHWOOD
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    State                |    OH
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    Zip                  |    44122-7340
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    Country              |    US
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    Telephone            |    216-536-9078
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2418 ALLEN BLVD 
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    City                 |    BEACHWOOD
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    State                |    OH
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    Zip                  |    44122-1740
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    Country              |    US
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    Telephone            |    216-536-9078
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ELIZABETH  HARRIS 
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    Credential           |    PHD
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    Telephone            |    216-536-9078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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