Provider Demographics
NPI:1467591354
Name:HARRINGTON, ANTOINETTE ELSA-LEE (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:ELSA-LEE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:ANTOINETTE
Other - Middle Name:ELSA-LEE
Other - Last Name:MATHISEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:ONE MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064
Mailing Address - Country:US
Mailing Address - Phone:603-883-0005
Mailing Address - Fax:603-883-0007
Practice Address - Street 1:45 MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2433
Practice Address - Country:US
Practice Address - Phone:603-883-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1197103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist