Provider Demographics
NPI:1366014326
Name:HARKINS, DEBRA ANN (PHD)
Entity Type:Individual
Prefix:PROF
First Name:DEBRA
Middle Name:ANN
Last Name:HARKINS
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 1:7 KINGMAN RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON HIGHLANDS
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1109
Mailing Address - Country:US
Mailing Address - Phone:617-895-6948
Mailing Address - Fax:
Practice Address - Street 1:7 KINGMAN RD
Practice Address - Street 2:
Practice Address - City:NEWTON HIGHLANDS
Practice Address - State:MA
Practice Address - Zip Code:02461-1109
Practice Address - Country:US
Practice Address - Phone:617-895-6948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6902103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical