Provider Demographics
NPI:1467209692
Name:MASTRAN, HARMONY S
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:S
Last Name:MASTRAN
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 1:400 MARK DR
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-1222
Mailing Address - Country:US
Mailing Address - Phone:330-352-9780
Mailing Address - Fax:
Practice Address - Street 1:733 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-1009
Practice Address - Country:US
Practice Address - Phone:888-511-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker