Healthcare Provider Details

I. General information

NPI: 1700394996
Provider Name (Legal Business Name): BRIAN P. HARR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 01/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S ALLEN ST STE 326
STATE COLLEGE PA
16801-4851
US

IV. Provider business mailing address

315 S ALLEN ST STE 326
STATE COLLEGE PA
16801-4851
US

V. Phone/Fax

Practice location:
  • Phone: 814-308-0704
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: