Doctor Name: | SUSAN HARVEY |
NPI Number: | 1366849135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | LGPC6001 |
Business Practice Address: | 7665 Porcelain Tile Ct Odenton, MD - 211133897 |
Business Phone Number: | 4436798437 |
Business Fax Number: | |
Mailing Address: | 7665 Porcelain Tile Ct, ODENTON |
State: | MD |
Postal Code: | 211133897 |
Phone Number: | 4436798437 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2014 |
NPI Last Update Date: | 11/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LGPC6001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |