Jennifer L Harris, BAPSYCHOLOGY
Jennifer L Harris, BAPSYCHOLOGY is a Federally Qualified Health Center (FQHC) in Myrtle Beach, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
104 George Bishop PkwyMyrtle Beach, SC 29579-7335
Phone: (828) 291-4460
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Methadone Clinic | Taxonomy 261QM2800X |
Record details
| NPI number | 1831873330 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BAPSYCHOLOGY |
| Sole proprietor | Yes |
| NPI enumerated | June 14, 2023 |
| Last updated in NPPES | June 15, 2023 |
| Certification date | June 15, 2023 |
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