Provider Demographics
NPI:1346456720
Name:HARLOW, WALTER JAMES (MS)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:JAMES
Last Name:HARLOW
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 137
Mailing Address - Street 2:
Mailing Address - City:HAWLEYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06440-0137
Mailing Address - Country:US
Mailing Address - Phone:203-426-4070
Mailing Address - Fax:888-289-0255
Practice Address - Street 1:111 CHURCH HILL RD STE 301
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1172
Practice Address - Country:US
Practice Address - Phone:203-426-4070
Practice Address - Fax:888-289-0255
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor