Provider Demographics
NPI:1609978105
Name:HARRISON, NANCY J (EDD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:J
Last Name:HARRISON
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 N MAIN ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:SHERBORN
Mailing Address - State:MA
Mailing Address - Zip Code:01770-1563
Mailing Address - Country:US
Mailing Address - Phone:508-397-3154
Mailing Address - Fax:508-545-1100
Practice Address - Street 1:59 N MAIN ST UNIT 3
Practice Address - Street 2:
Practice Address - City:SHERBORN
Practice Address - State:MA
Practice Address - Zip Code:01770-1563
Practice Address - Country:US
Practice Address - Phone:508-397-3154
Practice Address - Fax:508-545-1100
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4837103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent