Madeline Elizabeth Harley

Individual provider Active NPI Counselor · Kingston, MA

NPI 1134577307 · NPPES record last updated May 29, 2016

Key facts

NPI
1134577307
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
13 Cooke Ave
Kingston, MA 02364-1835
Phone
(774) 454-3322
NPI assigned
May 29, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

13 Cooke Ave
Kingston, MA 02364-1835

Mailing address

13 Cooke Ave
Kingston, MA 02364-1835
Phone (774) 454-3322

Other providers in Kingston, MA

All providers in Kingston, MA · Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.