Eric A Harris, ED.D., J.D.

Individual provider Active NPI Clinical Psychologist · Lincoln, MA

NPI 1396235503 · NPPES record last updated May 14, 2018

Key facts

NPI
1396235503
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2451-PY-PR (MA)
Practice address
138 Bedford Rd
Lincoln, MA 01773-2707
Phone
(781) 883-4049
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
2451-PY-PRMAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2451-PY-PR MA Yes

Addresses

Primary practice location

138 Bedford Rd
Lincoln, MA 01773-2707

Mailing address

138 Bedford Rd
Lincoln, MA 01773-2707
Phone (781) 883-4049

Other providers in Lincoln, MA

All providers in Lincoln, MA · Clinical Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.