Doctor Name: | MS. MICHELLE A HARVEY |
NPI Number: | 1083982862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.S.W. |
License Number: | S.0028203 |
Business Practice Address: | 8351 Mentor Ave Mentor, OH - 440605749 |
Business Phone Number: | 2168392273 |
Business Fax Number: | |
Mailing Address: | Po Box 24242, CLEVELAND |
State: | OH |
Postal Code: | 441240242 |
Phone Number: | 2168392273 |
Fax Number: | 2168960735 |
NPI Enumeration Date: | 12/07/2011 |
NPI Last Update Date: | 12/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | S.0028203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |