Provider Demographics
NPI:1821716952
Name:HARRID, RICHARD ALLEN DENNIS JR
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ALLEN DENNIS
Last Name:HARRID
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10204 CARTAGENA AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-8284
Mailing Address - Country:US
Mailing Address - Phone:505-985-4241
Mailing Address - Fax:
Practice Address - Street 1:10204 CARTAGENA AVE SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-8284
Practice Address - Country:US
Practice Address - Phone:505-985-4241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
15688223OtherCAQH