Doctor Name: | SYDNEY K HARVEY |
NPI Number: | 1407228182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | KPCCCA00214639 |
Business Practice Address: | 495 Erlanger Rd Suite 102 Erlanger, KY - 410181468 |
Business Phone Number: | 8593601044 |
Business Fax Number: | 8593601045 |
Mailing Address: | 8151 New La Grange Rd, LOUISVILLE |
State: | KY |
Postal Code: | 402224685 |
Phone Number: | 5024008099 |
Fax Number: | 5024731070 |
NPI Enumeration Date: | 10/21/2015 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | KPCCCA00214639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |