Provider Demographics
NPI:1437167491
Name:HARRIS, PAUL FRANCIS (PHD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:FRANCIS
Last Name:HARRIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3029
Mailing Address - Country:US
Mailing Address - Phone:603-668-7582
Mailing Address - Fax:
Practice Address - Street 1:61 NORTH ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3029
Practice Address - Country:US
Practice Address - Phone:603-668-7582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH452103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30009690Medicaid
NH30009690Medicaid
HARE4086Medicare UPIN