Provider Demographics
NPI:1336441286
Name:HARRIS, DARCEL (PHD)
Entity Type:Individual
Prefix:
First Name:DARCEL
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 1/2 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-4514
Mailing Address - Country:US
Mailing Address - Phone:410-751-5600
Mailing Address - Fax:443-524-9148
Practice Address - Street 1:66 1/2 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4514
Practice Address - Country:US
Practice Address - Phone:410-751-5600
Practice Address - Fax:443-524-9148
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist