Doctor Name: | MR. HARVEY L SHUBERT |
NPI Number: | 1710914817 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 01533 |
Business Practice Address: | 6201 Greenbelt Rd Suite U-18 Berwyn Heights, MD - 207402354 |
Business Phone Number: | 3013451919 |
Business Fax Number: | 3013455779 |
Mailing Address: | 5523 High Tor Hl, COLUMBIA |
State: | MD |
Postal Code: | 210452417 |
Phone Number: | 4109641948 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 01533 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |