IndividualActive
Charlie Harris, PHD
NPI 1205919123 · Psychologist · Tyrone, GA
Charlie Harris, PHD is a Psychologist provider in Tyrone, GA (NPI 1205919123).
Provider details
- NPI number
- 1205919123
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 002080 (GA)
Practice location
120 Millbrook Village Dr Ste B203
Tyrone, GA 30290-3605
Phone: (770) 727-6110
Fax: (800) 749-1966
Street-level locationGet directions
Mailing address
5877 Village Loop
Fairburn, GA 30213-4636
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.