Organization · Type 2 NPI

Hiawatha Harris, Corporation

Prescribing (Medical) Psychologist · Antioch, CA

NPI number 1396021150 Active

Practice location

509 W 10th St
Antioch, CA 94509-1653

Fax (925) 892-9822

Mailing address

5674 Stoneridge Dr Ste 207
Pleasanton, CA 94588-8592

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist 103TC0700XNone listed
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed

Prescribing (Medical) Psychologist: 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

25 other providers at this address

About NPI 1396021150

Hiawatha Harris, Corporation's National Provider Identifier is 1396021150, issued on Oct 25, 2011. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Antioch, CA. The record was last updated on Oct 25, 2011.