Provider Demographics
NPI:1982938981
Name:HARRIS, HERBERT WILLIAM
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:WILLIAM
Last Name:HARRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 WESTBURY DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9150
Mailing Address - Country:US
Mailing Address - Phone:973-747-4133
Mailing Address - Fax:919-929-6193
Practice Address - Street 1:205 WESTBURY DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9150
Practice Address - Country:US
Practice Address - Phone:973-747-4133
Practice Address - Fax:919-929-6193
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070371L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry