Healthcare Provider Details

I. General information

NPI: 1417316670
Provider Name (Legal Business Name): ANUPAMA HARVEY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANUPAMA SHARMA HARVEY PH.D.

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1885 W GREENWOOD RD
GLENDALE WI
53209-2126
US

IV. Provider business mailing address

1885 W GREENWOOD RD
GLENDALE WI
53209-2126
US

V. Phone/Fax

Practice location:
  • Phone: 414-446-8676
  • Fax:
Mailing address:
  • Phone: 414-446-8676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.006230
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071006230
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5502-57
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: