Provider Demographics
NPI:1568614717
Name:HAROIAN, JOHN MASON (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MASON
Last Name:HAROIAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1744
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-3744
Mailing Address - Country:US
Mailing Address - Phone:253-318-9613
Mailing Address - Fax:
Practice Address - Street 1:7512 STANICH LN
Practice Address - Street 2:SUITE 5
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-5129
Practice Address - Country:US
Practice Address - Phone:253-318-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY2382103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist