Provider Demographics
NPI:1851381800
Name:HAARMAN, GEORGE BERNARD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:BERNARD
Last Name:HAARMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400B BROWNS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4609
Mailing Address - Country:US
Mailing Address - Phone:502-721-7522
Mailing Address - Fax:502-721-7556
Practice Address - Street 1:1400B BROWNS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4609
Practice Address - Country:US
Practice Address - Phone:502-721-7522
Practice Address - Fax:502-721-7556
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY#0706103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYR35755Medicare UPIN
KYCP000003Medicare ID - Type Unspecified