Provider Demographics
NPI:1568781524
Name:HARMON, HARVEY STEPHENSON (CCC)
Entity Type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:STEPHENSON
Last Name:HARMON
Suffix:
Gender:M
Credentials:CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2560 OLD SHELL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3022
Mailing Address - Country:US
Mailing Address - Phone:251-378-8635
Mailing Address - Fax:251-378-8636
Practice Address - Street 1:2560 OLD SHELL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3022
Practice Address - Country:US
Practice Address - Phone:251-378-8635
Practice Address - Fax:251-378-8636
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1209235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist