Individual
MAUREEN L. HARKAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
21224
NH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
DO00603
RI
2084P0800X
Psychiatry Physician
00603
RI
2084P0800X
Psychiatry Physician
21224
NH
2084P0800X
Psychiatry Physician
Primary
DO00603
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31150-0
BLUE CROSS OF RI
RI
01
—
413238
BLUE CHIP OF RI
RI
05
—
7058234
—
RI
Enumeration date
04/17/2006
Last updated
04/24/2023
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