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JAN S HARMON PSYD PA

Clinical Neuropsychologist

Richland, Missouri

Provider NPI: 1477606473

Organization Information:
Organization Name:  JAN S HARMON PSYD PA
Organization is not Subpart
Authorized Official:  JANICE SUE HARMON  CORPORATE PRESIDENT  941-4049523

Practice Location:
209 DUBLIN LANE  RICHLAND, MO 65556 US
Tel: 941-404-9523  Fax: --

Business Mailing Address:
PO BOX 806  RICHLAND, MO 65556 US
Tel: 941-404-9523  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MO2001014379
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY6506
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MO2001014379
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
FLPY6506
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
MO2001014379

Other Provider Identifiers:

IssuerNumberStateType
AETNA-PRESIDENT'S ID3141315FL01
BCBSF PRESIDENT'S ID54814FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MO - Page 1



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