Provider Demographics
NPI:1942043617
Name:HARLAN, TONYA (MSED)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:HARLAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E 13TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-1602
Mailing Address - Country:US
Mailing Address - Phone:814-596-3669
Mailing Address - Fax:
Practice Address - Street 1:209 5TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1528
Practice Address - Country:US
Practice Address - Phone:814-321-8925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional