Provider Demographics
NPI:1689311672
Name:HARRINGTON, MATTHEW WITTER
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:WITTER
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CARNOUSTIE RD
Mailing Address - Street 2:
Mailing Address - City:BOURNE
Mailing Address - State:MA
Mailing Address - Zip Code:02532-8327
Mailing Address - Country:US
Mailing Address - Phone:508-728-0514
Mailing Address - Fax:
Practice Address - Street 1:340 GIFFORD ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-5105
Practice Address - Country:US
Practice Address - Phone:508-663-3809
Practice Address - Fax:513-440-8404
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health