Harris, Dehra Anne

Harris, Dehra Anne is an individual health care provider with primary practice located at 4444 Forest Park Ave Ste 2600 Ste 2600, Saint Louis MO 63108-2212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Harris, Dehra Anne can be contacted via phone (314) 286-1700.

Contact Information

Primary practice address
4444 Forest Park Ave Ste 2600 Ste 2600 Saint Louis MO 63108-2212
Phone: (314) 286-1700
Fax: (314) 286-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2007013530 Missouri

Profile Details

NPI number 1922024512
LBN Legal business name Harris, Dehra Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 24th, 2018 - about 6 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 1922024512 NPPES
Missouri MEDICAID 1922024512
Missouri MEDICAID ENROLLED

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