Provider Demographics
NPI:1750785994
Name:HARVEY, RITA (BSL)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:BSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 DEERFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-6824
Mailing Address - Country:US
Mailing Address - Phone:717-608-1210
Mailing Address - Fax:717-732-8432
Practice Address - Street 1:405 E WINDING HILL RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4989
Practice Address - Country:US
Practice Address - Phone:717-732-8484
Practice Address - Fax:717-732-8432
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health