Provider Demographics
NPI:1235293531
Name:HARRIS,, HUSHER LEON SR (MA)
Entity Type:Individual
Prefix:MR
First Name:HUSHER
Middle Name:LEON
Last Name:HARRIS,
Suffix:SR
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:HUSHER
Other - Middle Name:LEON
Other - Last Name:HARRIS
Other - Suffix:SR
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:4 BAYSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5504
Mailing Address - Country:US
Mailing Address - Phone:443-474-2885
Mailing Address - Fax:410-363-1307
Practice Address - Street 1:4 BAYSHIRE CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5504
Practice Address - Country:US
Practice Address - Phone:443-474-2885
Practice Address - Fax:410-363-1307
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional