Provider Demographics
NPI:1306281290
Name:HARTING-BARRAT, PAMELA (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:HARTING-BARRAT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ONEIDA RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2324
Mailing Address - Country:US
Mailing Address - Phone:978-502-4310
Mailing Address - Fax:
Practice Address - Street 1:531 KING ST
Practice Address - Street 2:4
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1279
Practice Address - Country:US
Practice Address - Phone:978-952-6336
Practice Address - Fax:978-952-6226
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4748101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health