Provider Demographics
NPI:1073324703
Name:HARRISON, ANGELENE (MS, EDS)
Entity type:Individual
Prefix:
First Name:ANGELENE
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MS, EDS
Other - Prefix:
Other - First Name:ANGELENE
Other - Middle Name:
Other - Last Name:BARZANTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:SOUTHERN HIGH SCHOOL
Mailing Address - Street 2:345 OAKLAND DRIVE
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550
Mailing Address - Country:US
Mailing Address - Phone:301-334-9447
Mailing Address - Fax:
Practice Address - Street 1:SOUTHERN HIGH SCHOOL
Practice Address - Street 2:345 OAKLAND DRIVE
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550
Practice Address - Country:US
Practice Address - Phone:301-334-9447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool