Provider Demographics
NPI:1205967452
Name:HARKINS, BARBARA A
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:HARKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:BENTLEY
Other - Middle Name:A
Other - Last Name:WOODCOCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:175 WEST KINGFIELD RD
Mailing Address - Street 2:
Mailing Address - City:KINGFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04947
Mailing Address - Country:US
Mailing Address - Phone:207-265-5753
Mailing Address - Fax:
Practice Address - Street 1:175 WEST KINGFIELD RD
Practice Address - Street 2:
Practice Address - City:KINGFIELD
Practice Address - State:ME
Practice Address - Zip Code:04947
Practice Address - Country:US
Practice Address - Phone:207-265-5752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEALLS777103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities