Harley, Rebecca Marie

Harley, Rebecca Marie is an sole proprietor health care provider with primary practice located at 294 Washington St Suite 313, Boston MA 02108-4634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Behavioral Health & Social Service Providers / Clinical. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Harley, Rebecca Marie can be contacted via phone (617) 724-6300.

Contact Information

Primary practice address
294 Washington St Suite 313 Boston MA 02108-4634
Phone: (617) 724-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 7978 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7978 Massachusetts

Profile Details

NPI number 1427023167
LBN Legal business name Harley, Rebecca Marie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427023167 NPPES
Massachusetts MEDICAID 0501930
Massachusetts Other W06140

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