Doctor Name: | CARMISHA HARPER |
NPI Number: | 1104244417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 23th E. Ross Ave. Sapulpa, OK - 74066 |
Business Phone Number: | 9182164917 |
Business Fax Number: | |
Mailing Address: | 1224 N Detroit Ave, TULSA |
State: | OK |
Postal Code: | 741064775 |
Phone Number: | 2144541205 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2014 |
NPI Last Update Date: | 04/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |