Provider Demographics
NPI:1326488438
Name:HARRIS, LOFTON H (MS)
Entity Type:Individual
Prefix:
First Name:LOFTON
Middle Name:H
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 DUDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2105
Mailing Address - Country:US
Mailing Address - Phone:610-213-4446
Mailing Address - Fax:
Practice Address - Street 1:207 DUDLEY AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2105
Practice Address - Country:US
Practice Address - Phone:610-213-4446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006383101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional