NPI 1790992162 · live from the CMS NPI Registry
Harry Glen Carver, Ph.D
Counselor, Professional in Broken Arrow, OK. National Provider Identifier 1790992162, active.
NPI record
| NPI | 1790992162 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 2141 W Concord Cir, Broken Arrow, OK 74012 |
| Practice phone | 918-288-0027 |
| Mailing address | 27935 E 113th St, Coweta, OK 74429 |
| Enumerated | May 16, 2007 |
| Last updated | June 29, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 2537 (LA) |
| Marriage & Family Therapist | 106H00000X | 450 (LA) |
| Counselor, Professional primary | 101YP2500X | 11498 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.