Harland, Renata Ellen
Harland, Renata Ellen is an sole proprietor health care provider with primary practice located at 1611 Peach St Ste 105 , Erie PA 16501-2120. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Harland, Renata Ellen can be contacted via phone (814) 440-7909.Contact Information
Primary practice address
1611 Peach St Ste 105
Erie PA 16501-2120
Phone: (814) 440-7909
Fax: (814) 240-6886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS016407 | Pennsylvania |
Profile Details
| NPI number | 1104928266 |
|---|---|
| LBN Legal business name | Harland, Renata Ellen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Mar 9th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104928266 | NPPES |
| North Carolina | MEDICAID | 6000663 |
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