Individual
LINDSEY SUSAN HARVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-4577
(215) 831-5042
Mailing address
4641 ROOSEVELT BLVD, RM 232 E, PHILADELPHIA, PA 19124-2343
(215) 831-4577
(215) 831-5042
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS019504
PA
Other
Enumeration date
06/30/2015
Last updated
07/18/2019
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