Individual
DR. JANICE SUE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
274 PINE TREE LN, RIDGELAND, MS 39157-8257
(601) 941-2236
Mailing address
PO BOX 1117, MADISON, MS 39130-1117
(601) 941-2236
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2001014379
MO
103TC0700X
Clinical Psychologist
PY-06506
FL
103TH0100X
Health Service Psychologist
Primary
2001014379
MO
103TR0400X
Rehabilitation Psychologist
2001014379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477535672
—
MO
Enumeration date
11/15/2005
Last updated
04/28/2016
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