Provider Demographics
NPI:1932647039
Name:HARMON, TURNER FORTNER
Entity Type:Individual
Prefix:MRS
First Name:TURNER
Middle Name:FORTNER
Last Name:HARMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TURNER
Other - Middle Name:JENNINGS
Other - Last Name:FORTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:930 12TH ST UNIT 934
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88311-5839
Mailing Address - Country:US
Mailing Address - Phone:575-635-4122
Mailing Address - Fax:
Practice Address - Street 1:930 12TH ST UNIT 934
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88311-5839
Practice Address - Country:US
Practice Address - Phone:575-635-4122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician