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NPI Code Detail

MEDICARE: DR. LASHANDA BEATRICE HARVEY PSYD

MEDICARE: DR. LASHANDA BEATRICE HARVEY PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist003043CT

General Provider Information

NPI Number : 1831327816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LASHANDA BEATRICE HARVEY PSYD
Provider Business Mailing Address
First Line : PO BOX 11
Second Line :
City : HARTFORD
State : CT
Zip : 06141-0011
Country : US
Telephone Number : 860-578-4779
Fax Number :
Provider Business Practice Location Address
First Line : 210 WETHERSFIELD AVE
Second Line :
City : HARTFORD
State : CT
Zip : 06114-1113
Country : US
Telephone Number : 860-578-4779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2009
Last Update Date : 12/16/2016

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