Provider Demographics
NPI:1114186012
Name:HARRINGTON, KELLY MARLEAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:MARLEAH
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 1:300 AUDUBON PKWY APT 94
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1245
Mailing Address - Country:US
Mailing Address - Phone:315-877-2137
Mailing Address - Fax:
Practice Address - Street 1:300 AUDUBON PKWY APT 94
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1245
Practice Address - Country:US
Practice Address - Phone:315-877-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist