Most Relevant Information
Provider Data
| NPI Number: | 1003582677 |
| Provider Name: | BREIANNA DIANA HARRIS LCPAT |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/23/2021 |
| Last Updated: | 01/10/2024 |
Provider Practice Location
1220 E JOPPA RD BLDG B
TOWSON
MD
212865811
Practice Location Phone/Fax
| Phone: | 4104494955 |
| Fax: |
Provider Mailing Location
4C NORTH AVE STE 423
BEL AIR
MD
210142334
Provider Mailing Phone/Fax
| Phone: | 4104494955 |
| Fax: |