Provider Demographics
NPI:1073931986
Name:HARPER, ROSIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSIE
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 MELOAN DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39209-7012
Mailing Address - Country:US
Mailing Address - Phone:601-291-9577
Mailing Address - Fax:601-977-4495
Practice Address - Street 1:1027 MELOAN DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39209-7012
Practice Address - Country:US
Practice Address - Phone:601-291-9577
Practice Address - Fax:601-977-4495
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-29
Last Update Date:2014-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1243948101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor