Provider Demographics
NPI:1629533286
Name:HARPER, DONICA (MA)
Entity Type:Individual
Prefix:
First Name:DONICA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 GREENCEDAR DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6383
Mailing Address - Country:US
Mailing Address - Phone:301-502-4112
Mailing Address - Fax:443-819-1321
Practice Address - Street 1:57 W TIMONIUM RD STE 207
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3105
Practice Address - Country:US
Practice Address - Phone:443-504-4658
Practice Address - Fax:443-819-1321
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP9033101YM0800X
MDLC9329101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health