Provider Demographics
NPI:1316047061
Name:HARRIS, ROBERT NEIL (PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:NEIL
Last Name:HARRIS
Suffix:
Gender:M
Credentials:PHD
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNIVERSITY BLVD
Mailing Address - Street 2:COMMUNITY PSYCH. SERVICE/STADLER HALL #232
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-4400
Mailing Address - Country:US
Mailing Address - Phone:314-516-5824
Mailing Address - Fax:314-516-5347
Practice Address - Street 1:1 UNIVERSITY BLVD
Practice Address - Street 2:COMMUNITY PSYCH. SERVICE/STADLER HALL #232
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-4400
Practice Address - Country:US
Practice Address - Phone:314-516-5824
Practice Address - Fax:314-516-5347
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOPYR0366103T00000X, 103TC0700X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily