Basic Information
Provider Information
NPI: 1699919282
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARMON
FirstName: KARA
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 SW 62ND BLVD APT 202
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326072085
CountryCode: US
TelephoneNumber: 8016875272
FaxNumber:  
Practice Location
Address1: 2121 NORTH AVE
Address2:  
City: GRAND JUNCTION
State: CO
PostalCode: 815016428
CountryCode: US
TelephoneNumber: 9702420731
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/27/2009
LastUpdateDate: 04/27/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC1900X7270359-2501UTY Behavioral Health & Social Service ProvidersPsychologistCounseling

No ID Information.


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