Harrell, Thomas H
Harrell, Thomas H is an sole proprietor health care provider with primary practice located at 2603 Canary Isles Dr , Melbourne FL 32901-6821. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Harrell, Thomas H can be contacted via phone (321) 725-7205.Contact Information
Primary practice address
2603 Canary Isles Dr
Melbourne FL 32901-6821
Phone: (321) 725-7205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 3193 | Florida |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | 3193 | Florida |
Profile Details
| NPI number | 1407095284 |
|---|---|
| LBN Legal business name | Harrell, Thomas H |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2009 |
| Last updated | Feb 18th, 2009 - about 16 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.
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