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General NPI Number Information
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NPI Number | 1598927303
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Entity Type | Organization
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Legal Business Name | MICHELLE HARVEY, PHD CLINICAL HEALTH PSYCHOLOGY
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 10/12/2009
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Provider Practice Location Address
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Address Line | 5751 KROGER DR SUITE 224
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City | FORT WORTH
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State | TX
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Zip | 76244-5632
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Country | US
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Telephone | 817-805-1510
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Fax | 817-581-9939
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Provider Business Mailing Address
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Address Line | 5751 KROGER DR SUITE 244
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City | KELLER
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State | TX
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Zip | 76244-5649
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Country | US
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Telephone | 817-805-1510
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Fax | 817-581-9939
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MICHELLE BETTE HARVEY
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Credential | PHD
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Telephone | 817-805-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32781
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 32781
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License Number State | TX
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