Provider Demographics
NPI:1124399142
Name:CYNTHIA POLLANS HARRIS, PH.D.,P.A
Entity Type:Organization
Organization Name:CYNTHIA POLLANS HARRIS, PH.D.,P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:POLLANS
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-475-9503
Mailing Address - Street 1:8030 PETERS RD
Mailing Address - Street 2:SUITE D106
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4038
Mailing Address - Country:US
Mailing Address - Phone:954-475-9503
Mailing Address - Fax:954-476-2369
Practice Address - Street 1:8030 PETERS RD
Practice Address - Street 2:SUITE D106
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4038
Practice Address - Country:US
Practice Address - Phone:954-475-9503
Practice Address - Fax:954-476-2369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003936103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty