Provider Demographics
NPI:1215286455
Name:HARNSBERGER, BRYAN JAMES (PSYD)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:JAMES
Last Name:HARNSBERGER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MICA LANE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481
Mailing Address - Country:US
Mailing Address - Phone:401-447-3178
Mailing Address - Fax:617-325-0353
Practice Address - Street 1:14 MICA LANE
Practice Address - Street 2:SUITE 205
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481
Practice Address - Country:US
Practice Address - Phone:401-447-3178
Practice Address - Fax:617-325-0353
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent