Provider Demographics
NPI:1871668665
Name:HARPER, JAMES MITCHELL (PHD PSYCHOLOGY)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MITCHELL
Last Name:HARPER
Suffix:
Gender:M
Credentials:PHD PSYCHOLOGY
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:273 COMPREHENSIVE CLINIC, TLRB
Mailing Address - Street 2:BRIGHAM YOUNG UNIVERSITY
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84602
Mailing Address - Country:US
Mailing Address - Phone:801-422-6509
Mailing Address - Fax:801-422-0163
Practice Address - Street 1:273 COMPREHENSIVE CLINIC, TLRB
Practice Address - Street 2:BRIGHAM YOUNG UNIVERSITY
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84602
Practice Address - Country:US
Practice Address - Phone:801-422-6509
Practice Address - Fax:801-422-0163
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT113221-2501103TC2200X
UT113221-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist