Provider Demographics
NPI:1689686768
Name:RAPP, HARVEY MARVIN (PH D)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:MARVIN
Last Name:RAPP
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 TWIN KNOLLS RD STE 7
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-3237
Mailing Address - Country:US
Mailing Address - Phone:410-730-4442
Mailing Address - Fax:410-995-1103
Practice Address - Street 1:5401 TWIN KNOLLS RD STE 7
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3237
Practice Address - Country:US
Practice Address - Phone:410-730-4442
Practice Address - Fax:410-995-1103
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD531103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG755Medicare ID - Type UnspecifiedHOWARD COUNTY
MD490920Medicare ID - Type UnspecifiedPRINCE GEORGES COUNTY