Provider Demographics
NPI:1851314678
Name:HARMON, TERESA MCCRAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MCCRAY
Last Name:HARMON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 STONERIDGE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-6598
Mailing Address - Country:US
Mailing Address - Phone:540-942-5155
Mailing Address - Fax:540-941-8181
Practice Address - Street 1:29 STONERIDGE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-6598
Practice Address - Country:US
Practice Address - Phone:540-942-5155
Practice Address - Fax:540-941-8181
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001297103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007702515Medicaid
VA085469OtherSENTARA
VA085469OtherSOUTHERN HEALTH
VA052064OtherANTHEM
VA162626000OtherMAGELLAN
VA152626OtherVALUE OPTIONS
VA4345742OtherAETNA
VA085469OtherOPTIMA
VA1021603OtherCIGNA
VA132941OtherMHN
VA162626000OtherMAGELLAN
VA052064OtherANTHEM