Provider Demographics
NPI:1821665761
Name:HARP, CLARICE MARIE
Entity Type:Individual
Prefix:
First Name:CLARICE
Middle Name:MARIE
Last Name:HARP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLARICE
Other - Middle Name:MARIE
Other - Last Name:FENLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1624 CIMMARON PLAZA
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075
Mailing Address - Country:US
Mailing Address - Phone:405-372-2202
Mailing Address - Fax:
Practice Address - Street 1:1624 CIMMARON PLAZA
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075
Practice Address - Country:US
Practice Address - Phone:405-372-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist