Healthcare Provider Details

I. General information

NPI: 1215890876
Provider Name (Legal Business Name): SHANNON HARMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 WELLSLEE DR
CHAMBERSBURG PA
17201-8289
US

IV. Provider business mailing address

308 WELLSLEE DR
CHAMBERSBURG PA
17201-8289
US

V. Phone/Fax

Practice location:
  • Phone: 717-816-4892
  • Fax:
Mailing address:
  • Phone: 717-816-4892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: