Harris, Roshun J
Harris, Roshun J is an sole proprietor health care provider with primary practice located at 2505 Lord Baltimore Dr Suite A102, Windsor Mill MD 21244-2673. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Harris, Roshun J can be contacted via phone (410) 903-3178.Contact Information
Primary practice address
2505 Lord Baltimore Dr Suite A102
Windsor Mill MD 21244-2673
Phone: (410) 903-3178
Fax: (866) 623-6129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC3404 | Maryland |
Profile Details
| NPI number | 1366768608 |
|---|---|
| LBN Legal business name | Harris, Roshun J |
| Credentials | MA, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2010 |
| Last updated | Jul 14th, 2015 - about 10 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 | 1366768608 | NPPES |
| Maryland | MEDICAID | 030347000 |
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