Provider Demographics
NPI:1346453495
Name:PEPPER, HARRY FRANCIS III (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:FRANCIS
Last Name:PEPPER
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753-B WILLARD COURT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090
Mailing Address - Country:US
Mailing Address - Phone:440-647-3280
Mailing Address - Fax:
Practice Address - Street 1:OBERLIN INN - 7 NORTH MAIN ST (SUITE 122)
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074
Practice Address - Country:US
Practice Address - Phone:216-556-0849
Practice Address - Fax:440-230-2659
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5380103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling