Healthcare Provider Details

I. General information

NPI: 1811007289
Provider Name (Legal Business Name): STEVEN A. HARVEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11477 OLDE CABIN RD SUITE 210
SAINT LOUIS MO
63141-7130
US

IV. Provider business mailing address

11477 OLDE CABIN RD SUITE 210
SAINT LOUIS MO
63141-7130
US

V. Phone/Fax

Practice location:
  • Phone: 314-997-5208
  • Fax: 314-997-5269
Mailing address:
  • Phone: 314-997-5208
  • Fax: 314-567-5368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number101008
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: