Provider Demographics
NPI:1316080799
Name:HARRINGTON, COLLEEN M (LIC AC)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:M
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GENESEE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1714
Mailing Address - Country:US
Mailing Address - Phone:978-534-9919
Mailing Address - Fax:
Practice Address - Street 1:A CENTER FOR WELLNESS
Practice Address - Street 2:29 MAIN STREET
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:978-534-9919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210543171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist