Provider Demographics
NPI:1750031563
Name:HARMON, ROSALIND (MA)
Entity Type:Individual
Prefix:
First Name:ROSALIND
Middle Name:
Last Name:HARMON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:ROSALIND
Other - Middle Name:ELAINE
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:800 SOUTHERN AVE SE APT 115
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4801
Mailing Address - Country:US
Mailing Address - Phone:702-706-6456
Mailing Address - Fax:
Practice Address - Street 1:800 SOUTHERN AVE SE APT 115
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4801
Practice Address - Country:US
Practice Address - Phone:213-352-0203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty