Provider Demographics
NPI:1447336300
Name:HARRINGTON, ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-8 HARTFORD ST.
Mailing Address - Street 2:
Mailing Address - City:NEWTON HIGHLANDS
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1553
Mailing Address - Country:US
Mailing Address - Phone:781-461-6361
Mailing Address - Fax:617-332-9991
Practice Address - Street 1:4-8 HARTFORD ST.
Practice Address - Street 2:
Practice Address - City:NEWTON HIGHLANDS
Practice Address - State:MA
Practice Address - Zip Code:02461-1553
Practice Address - Country:US
Practice Address - Phone:781-461-6361
Practice Address - Fax:617-332-9991
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3867103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW03890Medicare ID - Type Unspecified