Individual
GARY HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1096 MECHEM DR, SUITE 203, RUIDOSO, NM 88345-7067
(505) 258-4708
(505) 258-2678
Mailing address
PO BOX 175, HWY 37 NM10, NOGAL, NM 88341-0175
(505) 258-4708
(505) 258-3678
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
479
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N6029
—
NM
Enumeration date
06/29/2006
Last updated
07/08/2007
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