BLAKE ROBERT HARRIS

AUSTIN, TX
NPI1942629035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TF0200X Psychologist, Forensic
(Licence: TX  36688)
Enumeration Date2014-04-16
Last Update Date2014-04-16
Business Address
-- BLAKE ROBERT HARRIS PhD
11010 DOMAIN DR APT 11331
AUSTIN, TX 78758-7711
Phone number: 214-837-7999
Mailing Address
-- BLAKE ROBERT HARRIS PhD
11010 DOMAIN DR APT 11331
AUSTIN, TX 78758-7711
Phone number: 214-837-7999
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