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Hiawatha Harris, Corporation
Prescribing (Medical) Psychologist in Antioch, California
NPI 1396021150

Hiawatha Harris, Corporation is a Prescribing (Medical) Psychologist based in Pleasanton, CA and is specialized in Prescribing (Medical). Hiawatha Harris, Corporation practices in Antioch, CA. The NPI Number for Hiawatha Harris, Corporation is 1396021150 and holds a License No. (California).

The current practice location address for Hiawatha Harris, Corporation is 509 W 10Th St, Antioch, CA and can be reached out via phone at 925-706-1510 and via fax at 925-892-9822. You can also correspond with Hiawatha Harris, Corporation through the mailing address at 5674 STONERIDGE DR STE 207, PLEASANTON, CA - 94588-8592 (mailing address contact number: 925-520-0005).

Location: 509 W 10Th St, Antioch, CA, 94588-8592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396021150
Provider Name
Hiawatha Harris, Corporation
Credential
Provider Entity Type
Organization
Address
509 W 10Th St, Antioch, CA, 94588-8592
Phone Number
925-706-1510
Fax Number
925-892-9822
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
509 W 10Th St
City
Antioch
State
California
Zip
94509-1653
Phone Number
925-706-1510
Fax Number
925-892-9822
person
Provider Business Mailing Address Details
Address
509 W 10Th St
City
Antioch
State
California
Zip
94509-1653
Phone Number
925-706-1510
Fax Number
925-892-9822
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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