Provider Demographics
NPI:1467718833
Name:HARVEY, ELIZABETH BAKER (PHD, MSCI)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BAKER
Last Name:HARVEY
Suffix:
Gender:F
Credentials:PHD, MSCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 59TH ST
Mailing Address - Street 2:APT 3303
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2061
Mailing Address - Country:US
Mailing Address - Phone:212-486-2026
Mailing Address - Fax:
Practice Address - Street 1:945 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2661
Practice Address - Country:US
Practice Address - Phone:212-486-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005101-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health