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NPI Code Detail

MEDICARE: BRIDGETTE K. HARPER LMFT

MEDICARE: BRIDGETTE K. HARPER LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist35001195AIN

General Provider Information

NPI Number : 1619091980
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGETTE K. HARPER LMFT
Provider Business Mailing Address
First Line : 159 KIRK DR W
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46234-2716
Country : US
Telephone Number : 317-271-0630
Fax Number :
Provider Business Practice Location Address
First Line : 3171 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4784
Country : US
Telephone Number : 317-941-5010
Fax Number : 317-931-5140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ BRIDGETTE K. HARPER LMFT” Practice Location

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