MEDICARE: DR. ROBERT NEIL HARRIS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PYR0366	MO
2	103TC0700X	Clinical Psychologist	PYR0366	MO
3	103TF0000X	Family Psychologist	PYR0366	MO

General Provider Information

NPI Number	:	1316047061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT NEIL HARRIS PH.D.

Provider Business Mailing Address
First Line	:	1 UNIVERSITY BLVD
Second Line	:	COMMUNITY PSYCH. SERVICE/STADLER HALL #232
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-4400
Country	:	US
Telephone Number	:	314-516-5824
Fax Number	:	314-516-5347

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY BLVD
Second Line	:	COMMUNITY PSYCH. SERVICE/STADLER HALL #232
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-4400
Country	:	US
Telephone Number	:	314-516-5824
Fax Number	:	314-516-5347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2006
Last Update Date	:	09/11/2025

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