Provider Demographics
NPI:1295172088
Name:HARRIS, JOSEPH LAMAR
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LAMAR
Last Name:HARRIS
Suffix:
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 1:902 23RD ST SE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-2057
Mailing Address - Country:US
Mailing Address - Phone:903-238-6152
Mailing Address - Fax:
Practice Address - Street 1:902 23RD ST SE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-2057
Practice Address - Country:US
Practice Address - Phone:903-238-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst