Healthcare Provider Details

I. General information

NPI: 1962596916
Provider Name (Legal Business Name): A.S.HARPER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 12/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PENN AVE #1501
WILKINSBURG PA
15221-2148
US

IV. Provider business mailing address

322 MALL BLVD #218
MONROEVILLE PA
15146-2241
US

V. Phone/Fax

Practice location:
  • Phone: 412-247-2292
  • Fax:
Mailing address:
  • Phone: 412-823-1790
  • Fax: 412-829-1750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS006259L
License Number StatePA

VIII. Authorized Official

Name: DR. AYLENE S. HARPER
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 412-247-2292