Healthcare Provider Details

I. General information

NPI: 1851681241
Provider Name (Legal Business Name): MARIT F HARNEY R.D., L..D.N.,C.P.T,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 05/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 HIGH ST
GREENFIELD MA
01301-2611
US

IV. Provider business mailing address

306 HIGH ST
GREENFIELD MA
01301-2611
US

V. Phone/Fax

Practice location:
  • Phone: 413-335-4381
  • Fax:
Mailing address:
  • Phone: 413-335-4381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2976
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: