BLAKE ROBERT HARRIS PHD NPI 1942629035

NPI Information

Blake Robert Harris, PHD is a forensic psychologist in Austin, TX. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. Blake Robert Harris, PHD NPI is 1942629035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11010 DOMAIN DR
APT 11331
AUSTIN, TX
ZIP 78758-711
Phone: (214) 837-7999

The NPI 1942629035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/16/2014 and was last updated on 4/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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