Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
N | 174N00000X | Lactation Consultant |
NPI | 1356757801 |
---|---|
Provider Name | Terewell Harmon |
First Address | Cleveland, OH 44113-5215 |
Second Address | Cleveland, OH 44113-5215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2014 |
Last Update Date | 05/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3078539 | (05) | OH |