Provider Demographics
NPI:1952684672
Name:HARMON, CASSANDRA R (LMT)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:R
Last Name:HARMON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9735
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-0735
Mailing Address - Country:US
Mailing Address - Phone:302-685-9428
Mailing Address - Fax:
Practice Address - Street 1:1745 BEAR CORBITT RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1528
Practice Address - Country:US
Practice Address - Phone:888-757-1951
Practice Address - Fax:877-757-1951
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT0003131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist