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Blake Robert Harris, PHD Valid NPI

Individual provider · Forensic Psychologist · Austin, TX

NPI
1942629035
Type
Individual (Type 1)
Primary specialty
Forensic Psychologist (Psychologist)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103TF0200X
License number
36688 (TX)
Sex
Male
Sole proprietor
Yes
Enumerated
2014-04-16
Last updated
2014-04-16
Practice location
11010 Domain Dr, Apt 11331
Austin, TX 78758-7711
(214) 837-7999

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