Provider Demographics
NPI:1679889836
Name:HARRIS, FRANCES FENICHEL
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:FENICHEL
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:FENICHEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:523 EAST 14 STREET
Mailing Address - Street 2:#11A
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10009
Mailing Address - Country:US
Mailing Address - Phone:212-460-5225
Mailing Address - Fax:212-253-1928
Practice Address - Street 1:460 GRAND ST
Practice Address - Street 2:1ST FLOOR COMPREHENSIVE EVALUATIONS
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:718-388-6818
Practice Address - Fax:718-388-6828
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004135101YM0800X
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health