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Individual

DR. JESSICA R HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
3105 MIDDLE RD STE B, COLUMBUS, IN 47203-4472
(812) 372-1886
(812) 372-8156
Mailing address
3105 MIDDLE RD STE B, COLUMBUS, IN 47203-4472
(812) 372-1886
(812) 372-8156

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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