Provider Demographics
NPI:1174254098
Name:HARVEY, ERIKA (MS)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 WOODBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76137-4766
Mailing Address - Country:US
Mailing Address - Phone:951-463-9184
Mailing Address - Fax:
Practice Address - Street 1:7000 TEAL DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-3303
Practice Address - Country:US
Practice Address - Phone:817-744-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist