Individual
DR. JILL ELKA HARKAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
256 CONCORD AVE, CAMBRIDGE, MA 02138-1337
(617) 497-5491
Mailing address
27 STOREY DR, LINCOLN, MA 01773-2103
(781) 259-1305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4313
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04294
BLUE CROSS BLUE SHIELD ID
MA
Enumeration date
01/23/2007
Last updated
07/08/2007
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