Provider Demographics
NPI:1336312156
Name:HARVEY, YOLANDA J (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:J
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9821 E NEVADA DR
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85615-9048
Mailing Address - Country:US
Mailing Address - Phone:520-458-4604
Mailing Address - Fax:
Practice Address - Street 1:9821 E NEVADA DR
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-9048
Practice Address - Country:US
Practice Address - Phone:520-458-4604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-13
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000093651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical