Provider Demographics
NPI:1700028016
Name:HARRIS, MARGARET KATHERINE (MS)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:KATHERINE
Last Name:HARRIS
Suffix:
Gender:F
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:PO BOX 523
Mailing Address - Street 2:
Mailing Address - City:LOYALL
Mailing Address - State:KY
Mailing Address - Zip Code:40854-0523
Mailing Address - Country:US
Mailing Address - Phone:606-573-9524
Mailing Address - Fax:
Practice Address - Street 1:793 EASTERN BYP
Practice Address - Street 2:SUITE 208
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2422
Practice Address - Country:US
Practice Address - Phone:859-358-6791
Practice Address - Fax:859-624-2454
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0571103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist