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General NPI Number Information
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NPI Number | 1750430377
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Entity Type | Organization
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Legal Business Name | JOEL R HARMS PHD AND DEBORAH G HARMS PHD PC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 31815 SOUTHFIELD RD STE 31
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-5471
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Country | US
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Telephone | 248-258-5593
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Fax | 248-540-2494
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Provider Business Mailing Address
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Address Line | 21783 CORSAUT LN
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-2607
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Country | US
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Telephone | 248-258-5593
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Fax | 248-540-2494
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST PRESIDENT
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Name | DR. JOEL R HARMS
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Credential | PH.D.
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Telephone | 248-258-5593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301003815
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License Number State | MI
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