Provider Demographics
NPI:1669968418
Name:HARVARD, NOVA (MS)
Entity type:Individual
Prefix:MRS
First Name:NOVA
Middle Name:
Last Name:HARVARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1391 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1801
Mailing Address - Country:US
Mailing Address - Phone:412-661-9222
Mailing Address - Fax:412-661-9395
Practice Address - Street 1:1391 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1801
Practice Address - Country:US
Practice Address - Phone:412-661-9222
Practice Address - Fax:412-661-9395
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25447937OtherPA DMV