Provider Demographics
NPI:1730286345
Name:POPE, HARRISON G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRISON
Middle Name:G
Last Name:POPE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MILL STREET
Mailing Address - Street 2:MCLEAN HOSPITAL
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-9106
Mailing Address - Country:US
Mailing Address - Phone:617-855-2911
Mailing Address - Fax:
Practice Address - Street 1:115 MILL ST
Practice Address - Street 2:MCLEAN HOSPITAL
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1064
Practice Address - Country:US
Practice Address - Phone:617-855-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA389582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry