Provider Demographics
NPI:1396985578
Name:HARVEY, TANYA CLOVETTE
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:CLOVETTE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 OAK HILL CIR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4547
Mailing Address - Country:US
Mailing Address - Phone:510-638-1277
Mailing Address - Fax:
Practice Address - Street 1:33 OAK HILL CIR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-4547
Practice Address - Country:US
Practice Address - Phone:510-638-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor