Provider Demographics
NPI:1548399066
Name:HARPER, WARREN E (PHD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:E
Last Name:HARPER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:MR
Other - First Name:WARREN
Other - Middle Name:E
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:6205 MAGGIE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-6114
Mailing Address - Country:US
Mailing Address - Phone:901-335-9755
Mailing Address - Fax:
Practice Address - Street 1:1087 ALICE AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38106-6543
Practice Address - Country:US
Practice Address - Phone:901-259-1920
Practice Address - Fax:901-259-1922
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1456103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1456OtherLICENSED PSYCHOLOGIST
TN0431OtherPROFESSIONAL COUNSELOR