Provider Demographics
NPI:1659377448
Name:OAKLANDER, HARVEY ROY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:ROY
Last Name:OAKLANDER
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 1:9805 DANSK CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-1730
Mailing Address - Country:US
Mailing Address - Phone:703-323-8558
Mailing Address - Fax:703-425-8010
Practice Address - Street 1:9805 DANSK CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-1730
Practice Address - Country:US
Practice Address - Phone:703-323-8558
Practice Address - Fax:703-425-8010
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-26
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810000698103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7775903Medicaid
VAOA101271Medicare ID - Type UnspecifiedCLINICAL PSYCHOLOGY