Provider Demographics
NPI:1457620015
Name:HARMAN, PATRICK H (LCP)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:H
Last Name:HARMAN
Suffix:
Gender:M
Credentials:LCP
Other - Prefix:MR
Other - First Name:PATRICK
Other - Middle Name:H
Other - Last Name:HARMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCP
Mailing Address - Street 1:4421 SW MARLBORO RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-1520
Mailing Address - Country:US
Mailing Address - Phone:785-534-2471
Mailing Address - Fax:785-271-6572
Practice Address - Street 1:217 SE 4TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3504
Practice Address - Country:US
Practice Address - Phone:785-260-1940
Practice Address - Fax:785-271-6572
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCP 252103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral