Provider Demographics
NPI:1184819450
Name:HARVEY KAUFMAN, PSYCHOLOGIST, PC
Entity Type:Organization
Organization Name:HARVEY KAUFMAN, PSYCHOLOGIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:865-588-1868
Mailing Address - Street 1:2 FOREST CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5001
Mailing Address - Country:US
Mailing Address - Phone:865-588-1868
Mailing Address - Fax:865-558-6260
Practice Address - Street 1:2 FOREST CT
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5001
Practice Address - Country:US
Practice Address - Phone:865-588-1868
Practice Address - Fax:865-558-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPO000000364261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health