Provider Demographics
NPI:1588090823
Name:HARTE, CHRISTOPHER BROOKES (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BROOKES
Last Name:HARTE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 WASHINGTON ST STE 588
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-4003
Mailing Address - Country:US
Mailing Address - Phone:781-713-4001
Mailing Address - Fax:781-713-4038
Practice Address - Street 1:95 WASHINGTON ST STE 588
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-4003
Practice Address - Country:US
Practice Address - Phone:781-713-4001
Practice Address - Fax:781-713-4038
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9809103TC0700X
RIPS01401103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical