Provider Demographics
NPI:1427385350
Name:HARSHBARGER, JENNI LEE (PHD)
Entity type:Individual
Prefix:DR
First Name:JENNI
Middle Name:LEE
Last Name:HARSHBARGER
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:100 S MAIN ST STE 505
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-3738
Mailing Address - Country:US
Mailing Address - Phone:316-688-8390
Mailing Address - Fax:315-867-1718
Practice Address - Street 1:100 S MAIN ST STE 505
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3738
Practice Address - Country:US
Practice Address - Phone:316-688-8390
Practice Address - Fax:316-867-1718
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2024-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC1082103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1082OtherSTATE LICENSE FOR PRACTICING PSYCHOLOGY