Provider Demographics
NPI:1174551865
Name:HARVEY, DUANE M (MA,MFT)
Entity type:Individual
Prefix:MR
First Name:DUANE
Middle Name:M
Last Name:HARVEY
Suffix:
Gender:M
Credentials:MA,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-4567
Mailing Address - Country:US
Mailing Address - Phone:310-396-9156
Mailing Address - Fax:310-452-8129
Practice Address - Street 1:2803 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-4567
Practice Address - Country:US
Practice Address - Phone:310-396-9156
Practice Address - Fax:310-452-8129
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24947106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist