Organization
JAN S HARMON PSYD PA
Active
Organization
JAN S HARMON PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE SUE HARMON PSYD (CORPORATE PRESIDENT)
(941) 404-9523
Entity
Organization
Contact information
Practice address
209 DUBLIN LANE, RICHLAND, MO 65556
(941) 404-9523
Mailing address
PO BOX 806, RICHLAND, MO 65556-0806
(941) 404-9523
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2001014379
MO
103G00000X
Clinical Neuropsychologist
PY6506
FL
103TC0700X
Clinical Psychologist
2001014379
MO
103TC0700X
Clinical Psychologist
Primary
PY6506
FL
103TH0100X
Health Service Psychologist
2001014379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3141315
AETNA-PRESIDENT'S ID
FL
01
—
54814
BCBSF PRESIDENT'S ID
FL
Enumeration date
01/21/2007
Last updated
04/19/2012
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