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General NPI Number Information
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NPI Number | 1912423823
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Entity Type | Organization
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Legal Business Name | JENNI HARSHBARGER, PHD, P.A.
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 801 E. DOUGLAS REGUS SUITES, 2ND FLOOR
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City | WICHITA
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State | KS
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Zip | 67202
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Country | US
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Telephone | 316-688-8390
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Fax | 316-688-8390
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Provider Business Mailing Address
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Address Line | 100 S MAIN ST STE 505
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City | WICHITA
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State | KS
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Zip | 67202-3738
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Country | US
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Telephone | 316-688-8390
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Fax | 316-867-1718
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JENNI LEE HARSHBARGER
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Credential | PHD
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Telephone | 316-688-8390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 1646
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 1646
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License Number State | KS
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