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NPI Code Detail

MEDICARE: EVELYN HARPER

MEDICARE:   EVELYN  HARPER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1871318782
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN HARPER
Provider Business Mailing Address
First Line : 4941 SW 38TH WAY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-8241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4941 SW 38TH WAY
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-8241
Country : US
Telephone Number : 305-610-0716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 11/18/2024

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Directions to “ EVELYN HARPER ” Practice Location

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