Healthcare Provider Details

I. General information

NPI: 1851314678
Provider Name (Legal Business Name): TERESA M HARMON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 WOODLEE RD. #306
STAUNTON VA
24401-2206
US

IV. Provider business mailing address

31 WOODLEE RD. #306
STAUNTON VA
24401-2206
US

V. Phone/Fax

Practice location:
  • Phone: 540-649-4231
  • Fax:
Mailing address:
  • Phone: 540-649-4231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810001297
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: