Provider Demographics
NPI:1285202655
Name:HARDING, KELSIE CHRISTINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KELSIE
Middle Name:CHRISTINA
Last Name:HARDING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:KELSIE
Other - Middle Name:CHRISTINA
Other - Last Name:ROMAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1514
Mailing Address - Country:US
Mailing Address - Phone:770-845-3286
Mailing Address - Fax:
Practice Address - Street 1:14 MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1514
Practice Address - Country:US
Practice Address - Phone:770-845-3286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004449103TC0700X
103TC2200X
MA11714103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent