Provider Demographics
NPI:1568840056
Name:DICK, HARMONY (HIS)
Entity Type:Individual
Prefix:
First Name:HARMONY
Middle Name:
Last Name:DICK
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 E 6TH ST
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-2340
Mailing Address - Country:US
Mailing Address - Phone:951-769-5583
Mailing Address - Fax:951-845-1205
Practice Address - Street 1:851 E 6TH ST
Practice Address - Street 2:SUITE B-2
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-2340
Practice Address - Country:US
Practice Address - Phone:951-769-5583
Practice Address - Fax:951-845-1205
Is Sole Proprietor?:No
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 7965237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist