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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861467342 NPPES
West Virginia MEDICAID 0163053000

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