Provider Demographics
NPI:1124259510
Name:HARRIS, RALPH JR (PHD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:HARRIS
Suffix:JR
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 1:2626 PEACHTREE RD NW
Mailing Address - Street 2:SUITE 708
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-5616
Mailing Address - Country:US
Mailing Address - Phone:770-771-4900
Mailing Address - Fax:404-816-1858
Practice Address - Street 1:2626 PEACHTREE RD NW
Practice Address - Street 2:SUITE 708
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-5616
Practice Address - Country:US
Practice Address - Phone:770-771-4900
Practice Address - Fax:404-816-1858
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor