Provider Demographics
NPI:1265552335
Name:HARWAY, MICHELE (PSYCHOLOGIST, ABPP)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:HARWAY
Suffix:
Gender:F
Credentials:PSYCHOLOGIST, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4165 E THOUSAND OAKS BLVD STE 345
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-7224
Mailing Address - Country:US
Mailing Address - Phone:805-795-4390
Mailing Address - Fax:
Practice Address - Street 1:4165 E THOUSAND OAKS BLVD STE 345
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-7224
Practice Address - Country:US
Practice Address - Phone:805-795-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9086103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist