=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497971170
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HILARY HARRINGTON PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 230 S CALIFORNIA AVE SUITE 200
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94306-1642
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-257-5771
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 49 GREGORY DR
-----------------------------------------------------
City | FAIRFAX
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94930-1004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-257-5779
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PSY 12090
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------