| 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 |
|---|---|
| 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 | |
Laura Martinez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-2368 | |
Cara Wilson, Psychologist Medicare: Medicare Enrolled 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 | |
Megan Stasiak, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-2368 | |
Shaylee Hughes, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2002 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-2368 |