Healthcare Provider Details

I. General information

NPI: 1528414828
Provider Name (Legal Business Name): JAMES HARRINGTON PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 RETAMA CT SE
ALBUQUERQUE NM
87123-2463
US

IV. Provider business mailing address

2105 RETMAMCT. SE
ALBUQUERQUE NM
87123
US

V. Phone/Fax

Practice location:
  • Phone: 505-659-1351
  • Fax:
Mailing address:
  • Phone: 505-659-1351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number697
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: