Provider Demographics
NPI:1205815362
Name:HARMON, HOLLY N (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:N
Last Name:HARMON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 UNIVERSITY BLVD
Mailing Address - Street 2:NICHOLSON CENTER
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2574
Mailing Address - Country:US
Mailing Address - Phone:412-397-3821
Mailing Address - Fax:412-397-3236
Practice Address - Street 1:6001 UNIVERSITY BLVD
Practice Address - Street 2:NICHOLSON CENTER
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2574
Practice Address - Country:US
Practice Address - Phone:412-397-3821
Practice Address - Fax:412-397-3236
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0144281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA782739OtherPTAN