Provider Demographics
NPI:1285233122
Name:HARVEY, ANNMARIE CHRISTINE
Entity Type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:CHRISTINE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1673 CALEN LN
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-4295
Mailing Address - Country:US
Mailing Address - Phone:949-922-0440
Mailing Address - Fax:
Practice Address - Street 1:917 3RD ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0513
Practice Address - Country:US
Practice Address - Phone:949-922-0440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst