Provider Demographics
NPI:1194060640
Name:HARMAN, COURTNEY ANN
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:ANN
Last Name:HARMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 N WASHINGTON ST APT C37
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-1324
Mailing Address - Country:US
Mailing Address - Phone:405-269-2799
Mailing Address - Fax:
Practice Address - Street 1:3602 N WASHINGTON ST APT C37
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075-1324
Practice Address - Country:US
Practice Address - Phone:405-269-2799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK225C00000X225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor