Provider Demographics
NPI:1265173975
Name:HARPER, WILLIAM CORBETT JR (BS K-12 SPECIAL ED)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CORBETT
Last Name:HARPER
Suffix:JR
Gender:M
Credentials:BS K-12 SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7655 PEBBLESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-6816
Mailing Address - Country:US
Mailing Address - Phone:775-899-0105
Mailing Address - Fax:
Practice Address - Street 1:7655 PEBBLESTONE WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-6816
Practice Address - Country:US
Practice Address - Phone:775-830-3606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1730822198Medicaid