Provider Demographics
NPI:1639322084
Name:HARVEY, HELEN CONSTANCE (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:CONSTANCE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14565 ARCHDALE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-1441
Mailing Address - Country:US
Mailing Address - Phone:313-836-1245
Mailing Address - Fax:248-355-3392
Practice Address - Street 1:29260 FRANKLIN RD
Practice Address - Street 2:SUITE 128
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1161
Practice Address - Country:US
Practice Address - Phone:248-355-3301
Practice Address - Fax:248-355-3392
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012424103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical