Harris, Carole V
Harris, Carole V is an individual health care provider with primary practice located at 930 Chestnut Ridge Rd , Morgantown WV 26505-2807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Harris, Carole V can be contacted via phone (304) 598-4214.Contact Information
Primary practice address
930 Chestnut Ridge Rd
Morgantown WV 26505-2807
Phone: (304) 598-4214
Fax: (304) 293-6963
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 436 | West Virginia |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 436 | West Virginia |
Profile Details
NPI number | 1861467342 |
---|---|
LBN Legal business name | Harris, Carole V |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861467342 | NPPES |
West Virginia | MEDICAID | 0163053000 |
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