Provider Demographics
NPI:1144266446
Name:HARRIS, STEWART M JR (MD)
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:M
Last Name:HARRIS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1203 TAYLOR CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1869
Mailing Address - Country:US
Mailing Address - Phone:513-772-4393
Mailing Address - Fax:
Practice Address - Street 1:975 KINGSVIEW DR BLDG B
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9562
Practice Address - Country:US
Practice Address - Phone:513-228-7800
Practice Address - Fax:513-228-7857
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0450972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry