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Contact Information

HIAWATHA HARRIS, CORPORATION
4241 LONG BEACH BLVD
LONG BEACH, CA90807-2003
 Phone: 562-988-1700
 Fax: 562-988-1712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for HIAWATHA HARRIS CORPORATION · (Female)

NPI Number 1326269630
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # C22371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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