Provider Demographics
NPI:1043355464
Name:HARVEY, MARGARET (MA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 ABCD LN.
Mailing Address - Street 2:
Mailing Address - City:N. FERRISBURG
Mailing Address - State:VT
Mailing Address - Zip Code:04573
Mailing Address - Country:US
Mailing Address - Phone:802-453-6404
Mailing Address - Fax:
Practice Address - Street 1:137 ABCD LN.
Practice Address - Street 2:
Practice Address - City:N. FERRISBURG
Practice Address - State:VT
Practice Address - Zip Code:04573
Practice Address - Country:US
Practice Address - Phone:802-453-6404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680000463101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor