Hiawatha Harris, Corporation in Pleasanton - Clinical Child & Adolescent
Hiawatha Harris, Corporation - NPI 1407063936
Hiawatha Harris, Corporation is a Clinical Child & Adolescent in Pleasanton, California. Hiawatha Harris, Corporation practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Hiawatha Harris, Corporation is 1407063936. The last update date is 2011-07-08.
Hiawatha Harris, Corporation's current location address is 5674 Stoneridge Dr, Pleasanton, California. You can contact this provider via phone number 9255200005 and fax number 9255200010. The mailing address for Hiawatha Harris, Corporation is 5674 Stoneridge Dr, Pleasanton, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Hiawatha Harris, Corporation |
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Address | 5674 Stoneridge Dr, Pleasanton, California |
Phone Number | 9255200005 |
Fax Number | 9255200010 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | C.E.O. |
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Authorized Official Name | Becton Neisha |
Telephone Number | 9255200005 |
NPI Number Detail
NPI Number | 1407063936 |
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Provider Enumeration Date | 2007-05-16 |
Last Updated Date | 2011-07-08 |
Provider Mailing Address Detail
Address | 5674 Stoneridge Dr |
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City | Pleasanton |
State | California (CA) |
Post Code | 945888500 |
Phone Number | 9255200005 |
Fax Number | 9255200010 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Child & Adolescent |
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Taxonomy | 103Tc2200X |
Licence No | C22371 |
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code issued to Hiawatha Harris, Corporation by the Centers for Medicare & Medicaid Services?
The Hiawatha Harris, Corporation has been assigned the NPI (National Provider Identifier) 1407063936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Hiawatha Harris, Corporation is physically located?
The Hiawatha Harris, Corporation is physically situated at the following address: 5674 Stoneridge Dr, Pleasanton, CA, 945888500.
What is Hiawatha Harris, Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Hiawatha Harris, Corporation's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407063936 to Hiawatha Harris, Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1407063936 to Hiawatha Harris, Corporation on 2007-05-16.
As of what date were the details pertaining to Hiawatha Harris, Corporation last refreshed?
The information related to the Hiawatha Harris, Corporation, including its address, specialty, and other relevant details, was last updated on 2011-07-08.
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