Gary Harmon, PSYD | |
1096 Mechem Dr, Suite 203, Ruidoso, NM 88345-7067 | |
(505) 258-4708 | |
(505) 258-2678 |
Full Name | Gary Harmon |
---|---|
Gender | Male |
Speciality | Psychologist - Counseling |
Location | 1096 Mechem Dr, Ruidoso, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730117649 | NPI | - | NPPES |
N6029 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 479 (New Mexico) | Primary |
Entity Name | Life Change Psychotherapy Institute, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740409135 PECOS PAC ID: 6305107897 Enrollment ID: O20180226000378 |
Mailing Address | Practice Location Address |
---|---|
Gary Harmon, PSYD Po Box 175, Hwy 37 Nm10, Nogal, NM 88341-0175 Ph: (505) 258-4708 | Gary Harmon, PSYD 1096 Mechem Dr, Suite 203, Ruidoso, NM 88345-7067 Ph: (505) 258-4708 |
Dr. Elizabeth Belle Maines, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1096 Mechem Dr Ste 205, Ruidoso, NM 88345 Phone: 505-973-2022 | |
Cara Wilson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 | |
Szaine Hinkle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 143 El Paso Rd, Ruidoso, NM 88345 Phone: 575-257-2368 | |
Ms. Rebecca Monica Torres, ED.S., NCSP, LMHC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1096 Mechem Dr Ste 209, Ruidoso, NM 88345 Phone: 575-635-7050 Fax: 505-212-0554 | |
Kaitlyn Oliveira, ED.S, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-2368 | |
Jo Hudson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 | |
Kenneth Kenney, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 |