Provider Demographics
NPI:1164940938
Name:ROBERT C HARVEY MD LLC
Entity Type:Organization
Organization Name:ROBERT C HARVEY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-757-8044
Mailing Address - Street 1:3535 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1643
Mailing Address - Country:US
Mailing Address - Phone:225-757-8044
Mailing Address - Fax:225-250-5554
Practice Address - Street 1:3535 BRENTWOOD DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1643
Practice Address - Country:US
Practice Address - Phone:225-757-8044
Practice Address - Fax:225-250-5554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2058602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty