Provider Demographics
NPI:1497243471
Name:HARRIS, NANCY PARSONS (PHD)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:PARSONS
Last Name:HARRIS
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 1:16 CORNERSTONE LN
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-3319
Mailing Address - Country:US
Mailing Address - Phone:781-254-5060
Mailing Address - Fax:
Practice Address - Street 1:16 CORNERSTONE LN
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-3319
Practice Address - Country:US
Practice Address - Phone:781-254-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4314103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical