Healthcare Provider Details

I. General information

NPI: 1508317082
Provider Name (Legal Business Name): STEPHANIE F HARVISON LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 10/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 NORTHEAST DR
HERSHEY PA
17033-2732
US

IV. Provider business mailing address

22 NORTHEAST DR
HERSHEY PA
17033-2732
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-0003
  • Fax: 717-531-2650
Mailing address:
  • Phone: 717-531-0003
  • Fax: 717-531-2650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009232
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: