Provider Demographics
NPI:1336188697
Name:HARRIS, FRANCIS C (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:C
Last Name:HARRIS
Suffix:
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 1:1809 SIDNEY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1717
Mailing Address - Country:US
Mailing Address - Phone:412-381-9141
Mailing Address - Fax:412-381-7737
Practice Address - Street 1:1809 SIDNEY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1717
Practice Address - Country:US
Practice Address - Phone:412-381-9141
Practice Address - Fax:412-381-7737
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004517L103TH0004X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA262123OtherHIGHMARK-MHS#
PA0015226540006Medicaid
PAR96414Medicare UPIN
PA774786Medicare ID - Type Unspecified