| Doctor Name: | JACK HARSHMAN |
| NPI Number: | 1013133677 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | 4338 |
| Business Practice Address: | 55 Robinwood Ave Jamaica Plain, MA - 021302157 |
| Business Phone Number: | 7818716550 |
| Business Fax Number: | |
| Mailing Address: | 75 Carolina Ave, Apt. #1 JAMAICA PLAIN |
| State: | MA |
| Postal Code: | 021303215 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |