Provider Demographics
NPI:1336439397
Name:HARRIS, HELAINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HELAINE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 HOUSATONIC ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2637
Mailing Address - Country:US
Mailing Address - Phone:413-298-3837
Mailing Address - Fax:
Practice Address - Street 1:56 HOUSATONIC ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2637
Practice Address - Country:US
Practice Address - Phone:413-298-3837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9207103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical