Provider Demographics
NPI:1710018486
Name:HARPER, CHERYL H (MSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:H
Last Name:HARPER
Suffix:
Gender:F
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 JARVIS DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-3404
Mailing Address - Country:US
Mailing Address - Phone:785-537-9029
Mailing Address - Fax:
Practice Address - Street 1:1420 JARVIS DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-3404
Practice Address - Country:US
Practice Address - Phone:785-537-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 06981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS011139Medicare ID - Type Unspecified