Harris, Stephen Robert

Harris, Stephen Robert is an individual health care provider with primary practice located at 715 W Sherman Ave Ste F, Harrison AR 72601-2743. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harris, Stephen Robert can be contacted via phone (870) 577-2830.

Contact Information

Primary practice address
715 W Sherman Ave Ste F Harrison AR 72601-2743
Phone: (870) 577-2830
Fax: (870) 741-3457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 19-76P Arkansas

Profile Details

NPI number 1497736458
LBN Legal business name Harris, Stephen Robert
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated May 24th, 2010 - about 15 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 1497736458 NPPES
Arkansas MEDICAID 101734719

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