Provider Demographics
NPI:1023541554
Name:PAULA J. HARKINS, PHD, LLC
Entity Type:Organization
Organization Name:PAULA J. HARKINS, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:913-338-1356
Mailing Address - Street 1:8675 COLLEGE BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1946
Mailing Address - Country:US
Mailing Address - Phone:913-338-1356
Mailing Address - Fax:913-338-1496
Practice Address - Street 1:8675 COLLEGE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1946
Practice Address - Country:US
Practice Address - Phone:913-338-1356
Practice Address - Fax:913-338-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1895103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA2058Medicare PIN