Provider Demographics
NPI:1336260306
Name:HARSHMAN, AMY J (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:J
Last Name:HARSHMAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E CARMEL DR
Mailing Address - Street 2:SUITE 154
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2803
Mailing Address - Country:US
Mailing Address - Phone:317-730-5155
Mailing Address - Fax:317-819-8347
Practice Address - Street 1:600 E CARMEL DR
Practice Address - Street 2:SUITE 154
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2803
Practice Address - Country:US
Practice Address - Phone:317-730-5155
Practice Address - Fax:317-819-8347
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001673A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist