Provider Demographics
NPI:1992864441
Name:HARVEY, PHILIP D (PHD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:D
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 1:1120 NW 14TH STREET
Mailing Address - Street 2:SUITE 1450
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136
Mailing Address - Country:US
Mailing Address - Phone:305-243-4094
Mailing Address - Fax:305-243-1619
Practice Address - Street 1:1120 NW 14TH STREET
Practice Address - Street 2:SUITE 1450
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-243-4094
Practice Address - Fax:305-243-4094
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007895103TC0700X
FLPSY8164103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical