Provider Demographics
NPI:1407224314
Name:LITTLE-HARRISON, NATASHA NICOLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:NICOLE
Last Name:LITTLE-HARRISON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:NICOLE
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13821 VILLAGE MILL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13821 VILLAGE MILL DR
Practice Address - Street 2:SUITE B
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4314
Practice Address - Country:US
Practice Address - Phone:804-794-8900
Practice Address - Fax:804-378-2012
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005248103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical