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Individual
DR. JESSICA R HARVEY
Active
Individual
DR. JESSICA R HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002752A
IN
231HA2400X
Assistive Technology Practitioner Audiologist
23002752A
IN
231HA2500X
Assistive Technology Supplier Audiologist
23002752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23002752A
STATE LICENSE
IN
Enumeration date
06/16/2021
Last updated
06/16/2021
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