Provider Demographics
NPI:1477733681
Name:HARRIS, ALLAN BERNARD SR (MED)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:BERNARD
Last Name:HARRIS
Suffix:SR
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 NEW HOPE RD
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-9495
Mailing Address - Country:US
Mailing Address - Phone:252-264-2708
Mailing Address - Fax:
Practice Address - Street 1:1031 NEW HOPE RD
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-9495
Practice Address - Country:US
Practice Address - Phone:252-264-2708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor