Paul Vivian Harris is a Clinical in Chicago, Illinois. Paul Vivian Harris practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Vivian Harris is 1770630717. The last update date is 2022-01-19.
Paul Vivian Harris's current location address is 155 N Michigan Ave Ste 734, Chicago, Illinois. You can contact this provider via phone number 3127295044 and fax number 3127295099. The mailing address for Paul Vivian Harris is 155 N Michigan Ave Ste 734, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Vivian Harris |
|---|---|
| Address | 155 N Michigan Ave Ste 734, Chicago, Illinois |
| Phone Number | 3127295044 |
| Fax Number | 3127295099 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1770630717 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2022-01-19 |
Provider Mailing Address Detail
| Address | 155 N Michigan Ave Ste 734 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606017712 |
| Phone Number | 3127295044 |
| Fax Number | 3127295099 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-006095 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1633868 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul Vivian Harris by the Centers for Medicare & Medicaid Services?
The Paul Vivian Harris has been issued the NPI (National Provider Identifier) 1770630717 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Paul Vivian Harris?
The Paul Vivian Harris is physically situated at 155 N Michigan Ave Ste 734, in the city of Chicago, state of IL, with the postal code 606017712.
What is the Paul Vivian Harris's area of specialization and corresponding taxonomy classification?
The Paul Vivian Harris's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770630717 to Paul Vivian Harris?
The Centers for Medicare & Medicaid Services originally issued the 1770630717 to Paul Vivian Harris on 2007-01-04.
When was the information pertaining to Paul Vivian Harris most recently updated or revised?
The details related to Paul Vivian Harris, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-19.