Provider Demographics
NPI:1669780136
Name:HARRINGTON, JAMES DALE
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DALE
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2447 BEDFORD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-1405
Mailing Address - Country:US
Mailing Address - Phone:814-254-4228
Mailing Address - Fax:866-882-4277
Practice Address - Street 1:2447 BEDFORD ST STE 100
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-1405
Practice Address - Country:US
Practice Address - Phone:814-254-4228
Practice Address - Fax:866-882-4277
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-18
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005934-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist