Harrison, Roger R.

Harrison, Roger R. is an individual health care provider with primary practice located at A.I. Dupont Hospital For Children 1600 Rockland Road, Wilmington DE 19803-3607. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Harrison, Roger R. can be contacted via phone (302) 651-4000.

Contact Information

Primary practice address
A.I. Dupont Hospital For Children 1600 Rockland Road Wilmington DE 19803-3607
Phone: (302) 651-4000
Fax: (302) 651-4945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X B10000777 Delaware
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X B10000777 Delaware
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS020166 Pennsylvania

Profile Details

NPI number 1356523716
LBN Legal business name Harrison, Roger R.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Jun 17th, 2024 - about last year

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 1356523716 NPPES
Pennsylvania MEDICAID 102087416
Pennsylvania MEDICAID 4138473
Pennsylvania MEDICAID 147192

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