Provider Demographics
NPI:1790907954
Name:HARPER, THOMAS ORSON PAUL (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS ORSON
Middle Name:PAUL
Last Name:HARPER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:T O
Other - Middle Name:PAUL
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1790 N STATE STREET
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-2025
Mailing Address - Country:US
Mailing Address - Phone:801-224-8255
Mailing Address - Fax:801-224-8301
Practice Address - Street 1:8130 COUNTRY VILLAGE DR STE 102
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2087
Practice Address - Country:US
Practice Address - Phone:901-308-2915
Practice Address - Fax:901-309-2924
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT56593172501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist