Individual
BERNICE ELAINE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
2922 RIVERSIDE DR, LAKE ORION, MI 48359-1593
(248) 747-0738
Mailing address
2922 RIVERSIDE DR, ORION TOWNSHIP, MI 48359-1593
(248) 747-0738
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012116
MI
103TF0000X
Family Psychologist
6301012116
MI
Other
Enumeration date
02/10/2010
Last updated
06/04/2015
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