Provider Demographics
NPI:1225744535
Name:HARRIS, AMBER R (BS)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:R
Last Name:HARRIS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-6126
Mailing Address - Country:US
Mailing Address - Phone:814-768-7575
Mailing Address - Fax:
Practice Address - Street 1:214 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-6126
Practice Address - Country:US
Practice Address - Phone:814-768-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling