Healthcare Provider Details

I. General information

NPI: 1427023167
Provider Name (Legal Business Name): REBECCA MARIE HARLEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 WASHINGTON ST SUITE 313
BOSTON MA
02108-4634
US

IV. Provider business mailing address

294 WASHINGTON ST SUITE 313
BOSTON MA
02108-4634
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-6300
  • Fax:
Mailing address:
  • Phone: 617-724-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number7978
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7978
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: