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NPI Code Detail

MEDICARE: DR. RANDOLPH THOMAS HARPER PH. D.

MEDICARE:  DR. RANDOLPH THOMAS HARPER  PH. D.
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
1103TC0700XClinical Psychologist180LA

General Provider Information

NPI Number : 1255472213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDOLPH THOMAS HARPER PH. D.
Provider Business Mailing Address
First Line : 1305 ANTONINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3601
Country : US
Telephone Number : 504-895-6068
Fax Number : 504-891-3039
Provider Business Practice Location Address
First Line : 1305 ANTONINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3601
Country : US
Telephone Number : 504-895-6068
Fax Number : 504-891-3039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RANDOLPH THOMAS HARPER PH. D.” Practice Location

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