Basic Information
| Provider Information | |||||||||
| NPI: | 1750559654 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARRON | ||||||||
| FirstName: | SHEILA | ||||||||
| MiddleName: | MARY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8901 NEW HAMPSHIRE AVE | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209033611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014316865 | ||||||||
| FaxNumber: | 3014225400 | ||||||||
| Practice Location | |||||||||
| Address1: | 8901 NEW HAMPSHIRE AVE | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209033611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014316865 | ||||||||
| FaxNumber: | 3014225400 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2008 | ||||||||
| LastUpdateDate: | 02/13/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TA0400X | 03195 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | 103TB0200X | 03195 | MD | N | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | 103TC0700X | 03195 | MD | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.