Organization
SHANNON HARVEY, PSY.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HARVEY PSY.D (PSYCHOLOGIST)
(631) 495-9592
Entity
Organization
Contact information
Practice address
35 TAMARA CT, MELVILLE, NY 11747-4147
(631) 495-9592
Mailing address
35 TAMARA CT, MELVILLE, NY 11747-4147
(631) 495-9592
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
020409
NY
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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