Provider Demographics
NPI:1851075691
Name:GILLARD, HARPER BAY TICE
Entity type:Individual
Prefix:
First Name:HARPER
Middle Name:BAY TICE
Last Name:GILLARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HARPER
Other - Middle Name:BAY
Other - Last Name:TICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1062 E LANCASTER AVE APT 620
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1527
Mailing Address - Country:US
Mailing Address - Phone:717-860-6091
Mailing Address - Fax:
Practice Address - Street 1:1062 E LANCASTER AVE APT 620
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1527
Practice Address - Country:US
Practice Address - Phone:717-860-6091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker