Provider Demographics
NPI:1992935019
Name:DAMUS, HARRY (PSYD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:DAMUS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 SW 117TH AVE
Mailing Address - Street 2:STE 306
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3856
Mailing Address - Country:US
Mailing Address - Phone:305-274-0640
Mailing Address - Fax:305-274-0630
Practice Address - Street 1:8200 SW 117TH AVE
Practice Address - Street 2:STE 306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3856
Practice Address - Country:US
Practice Address - Phone:305-274-0640
Practice Address - Fax:305-274-0630
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7870103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical