Healthcare Provider Details

I. General information

NPI: 1306081807
Provider Name (Legal Business Name): DEANN HARVEY PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2008
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 E STOP 11 RD STE 350
INDIANAPOLIS IN
46237-6402
US

IV. Provider business mailing address

14758 BEACON PARK DR
CARMEL IN
46032-5045
US

V. Phone/Fax

Practice location:
  • Phone: 317-528-4800
  • Fax: 317-782-6929
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number20041745A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number20041745A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: