Provider Demographics
NPI:1710650767
Name:HARRISBURG AREA LEARNING ACADEMY
Entity Type:Organization
Organization Name:HARRISBURG AREA LEARNING ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:717-256-1522
Mailing Address - Street 1:887 SUNRISE CIR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-4651
Mailing Address - Country:US
Mailing Address - Phone:717-903-8233
Mailing Address - Fax:
Practice Address - Street 1:801 E PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2816
Practice Address - Country:US
Practice Address - Phone:717-695-6934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty