Provider Demographics
NPI:1619010584
Name:HARMAN, REX D (LCP LMLP LMFT)
Entity Type:Individual
Prefix:MR
First Name:REX
Middle Name:D
Last Name:HARMAN
Suffix:
Gender:M
Credentials:LCP LMLP LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 7TH STREET
Mailing Address - Street 2:HIGH PLAINS MHC
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:67661
Mailing Address - Country:US
Mailing Address - Phone:785-543-5284
Mailing Address - Fax:785-543-5285
Practice Address - Street 1:783 7TH STREET
Practice Address - Street 2:HIGH PLAINS MHC
Practice Address - City:PHILLIPSBURG
Practice Address - State:KS
Practice Address - Zip Code:67661
Practice Address - Country:US
Practice Address - Phone:785-543-5284
Practice Address - Fax:785-543-5285
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0244103T00000X
KS241103T00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0244LMLPOtherLICENSED MASTERS LEVEL PS
KS70LMFTOtherLICENSED MARRIAGE AND FAM
KS241LCPOtherLICENSED CLINICAL PSYCHOT