Provider Demographics
NPI:1356787162
Name:HARMON, KRISTIE LYNN (MSW)
Entity type:Individual
Prefix:
First Name:KRISTIE
Middle Name:LYNN
Last Name:HARMON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SCOTT DR
Mailing Address - Street 2:APT F
Mailing Address - City:DRAVOSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15034-1124
Mailing Address - Country:US
Mailing Address - Phone:412-848-4623
Mailing Address - Fax:
Practice Address - Street 1:31 SCOTT DR
Practice Address - Street 2:APT F
Practice Address - City:DRAVOSBURG
Practice Address - State:PA
Practice Address - Zip Code:15034-1124
Practice Address - Country:US
Practice Address - Phone:412-848-4623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker