Provider Demographics
NPI:1528228939
Name:HARRIS & DARMANIAN PLLC
Entity Type:Organization
Organization Name:HARRIS & DARMANIAN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:954-217-2444
Mailing Address - Street 1:1875 N CORPORATE LAKES BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3270
Mailing Address - Country:US
Mailing Address - Phone:954-217-2444
Mailing Address - Fax:954-217-9292
Practice Address - Street 1:1875 N CORPORATE LAKES BLVD STE 300
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3270
Practice Address - Country:US
Practice Address - Phone:954-217-2444
Practice Address - Fax:954-217-9292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3355103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL39823Medicare PIN