Provider Demographics
NPI:1558443119
Name:HARDING, KAREN L (PSYD APRN BC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:HARDING
Suffix:
Gender:F
Credentials:PSYD APRN BC
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 120
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-0120
Mailing Address - Country:US
Mailing Address - Phone:978-456-3181
Mailing Address - Fax:978-456-8416
Practice Address - Street 1:5 POND RD
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-0120
Practice Address - Country:US
Practice Address - Phone:978-456-3181
Practice Address - Fax:978-456-8416
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8476103TC0700X
MA126954364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA701787OtherTUFTS
MAW06443OtherBCBS
MAHANS0063Medicare ID - Type Unspecified