Harris, Beverly Jane

Harris, Beverly Jane is an individual health care provider with primary practice located at 220 Bagley St Rm 238 , Detroit MI 48235. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Harris, Beverly Jane can be contacted via phone (313) 965-4950.

Contact Information

Primary practice address
220 Bagley St Rm 238 Detroit MI 48235
Phone: (313) 965-4950
Fax: (313) 862-0662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401001918 Michigan

Profile Details

NPI number 1851444046
LBN Legal business name Harris, Beverly Jane
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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