Provider Demographics
NPI:1396901971
Name:HARVEY, VANESSA JOY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:JOY
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W SEARS AVE
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88210-2638
Mailing Address - Country:US
Mailing Address - Phone:575-308-6238
Mailing Address - Fax:
Practice Address - Street 1:1201 W SEARS AVE
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-2638
Practice Address - Country:US
Practice Address - Phone:575-308-6238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4212235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist