Harley J Harber, M.D.
Individual provider Active NPI Psychiatry Physician · Glencoe, AR
NPI 1154574176 · NPPES record last updated Jan 13, 2009
Key facts
- NPI
- 1154574176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- C5060 (AR)
- Practice address
- 1922 Deer Bend TRL
Glencoe, AR 72539-9599 - Phone
- (870) 895-3047
- NPI assigned
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5060 | AR | MD | Psychiatry Physician |
| 23832 | CO | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | C5060 | AR | |
| Psychiatry Physician | 2084P0800X | C5060 | AR | Yes |
| Psychiatry Physician | 2084P0800X | 23832 | CO | |
| Addiction Psychiatry Physician | 2084P0802X | C5060 | AR |
Addresses
Primary practice location
1922 Deer Bend TRL
Glencoe, AR 72539-9599
Mailing address
PO Box 125
Salem, AR 72576-0125
Phone (479) 601-2656
Other providers in Glencoe, AR
All providers in Glencoe, AR · Psychiatry Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.