Provider Demographics
NPI:1578727814
Name:HARVEY, DONALD REID (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:REID
Last Name:HARVEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 OLD HICKORY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4513
Mailing Address - Country:US
Mailing Address - Phone:615-376-4818
Mailing Address - Fax:
Practice Address - Street 1:761 OLD HICKORY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4513
Practice Address - Country:US
Practice Address - Phone:615-376-4818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC (MHSP) 352106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist