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Contact Information

CHARLES HARRIS PHD PLLC
1217 NELSON DR
OCEAN SPRINGS, MS39564-3032
 Phone: 228-875-7648
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
Indicates primary specialty

NPI Profile & details for CHARLES HARRIS PHD PLLC

NPI Number 1588052096
LBN Legal business name CHARLES HARRIS PHD PLLC
Authorized official CHARLES HARRIS - (CHIEF OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2015
Last updated 01/06/2015 - About 11 years ago
Identifiers
MS License # 36-620
MS Other 680000286 MEDICARE IDENTIFICAQTION NUMBER
MS Other 36-620 PSYCHOLOGIST LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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