Provider Demographics
NPI:1457885410
Name:OLIVER, HARVIE L III (LSW)
Entity Type:Individual
Prefix:MR
First Name:HARVIE
Middle Name:L
Last Name:OLIVER
Suffix:III
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4569 CAIRO DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-1014
Mailing Address - Country:US
Mailing Address - Phone:484-522-1545
Mailing Address - Fax:610-867-3007
Practice Address - Street 1:4569 CAIRO DR
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-1014
Practice Address - Country:US
Practice Address - Phone:484-522-1545
Practice Address - Fax:610-867-3007
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-17
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127105104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker