Provider Demographics
NPI:1689723322
Name:HARMAN, SANDRA MURDOCK (RNC, CEAP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MURDOCK
Last Name:HARMAN
Suffix:
Gender:F
Credentials:RNC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 PLANTATION WALK
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-6213
Mailing Address - Country:US
Mailing Address - Phone:770-832-8569
Mailing Address - Fax:770-832-8569
Practice Address - Street 1:60 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1210
Practice Address - Country:US
Practice Address - Phone:770-304-9885
Practice Address - Fax:770-304-4576
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN026233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health