Provider Demographics
NPI:1376256651
Name:HARRIS, DENNIS LYNN (MD PSY)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:LYNN
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD PSY
Other - Prefix:
Other - First Name:SEBASTIAN
Other - Middle Name:ALEXANDER
Other - Last Name:FROST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PSY
Mailing Address - Street 1:1678 OLD COOK FORD RD
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:AL
Mailing Address - Zip Code:35130-9566
Mailing Address - Country:US
Mailing Address - Phone:256-962-4636
Mailing Address - Fax:
Practice Address - Street 1:1678 OLD COOK FORD RD
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:AL
Practice Address - Zip Code:35130-9566
Practice Address - Country:US
Practice Address - Phone:256-962-4636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZMD80352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry