Harris, Mitchell Edward

Harris, Mitchell Edward is an individual health care provider with primary practice located at 12530 10Th St Suite D, Chino CA 91710-3520. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harris, Mitchell Edward can be contacted via phone (909) 596-3577.

Contact Information

Primary practice address
12530 10Th St Suite D Chino CA 91710-3520
Phone: (909) 596-3577
Fax: (909) 593-6456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY8000 California

Profile Details

NPI number 1508923517
LBN Legal business name Harris, Mitchell Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508923517 NPPES
California Other ZZZ07821Z BLUE SHIELD OF CALIFORNIA
California Other OPL80000 BLUE SHIELD OF CALIFORNIA

Popular Providers