Provider Demographics
NPI:1811336662
Name:HARVILLE, STEFAN
Entity type:Individual
Prefix:MR
First Name:STEFAN
Middle Name:
Last Name:HARVILLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 SPANISH TOWN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-0903
Mailing Address - Country:US
Mailing Address - Phone:702-658-9563
Mailing Address - Fax:702-636-9306
Practice Address - Street 1:2205 SPANISH TOWN AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-0903
Practice Address - Country:US
Practice Address - Phone:702-658-9563
Practice Address - Fax:702-636-9306
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor