MEDICARE: MRS. KAREN ANN HARVEY MSW

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
1	101YM0800X	Mental Health Counselor	LISW 02088	IA

General Provider Information

NPI Number	:	1982729646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN ANN HARVEY MSW

Provider Business Mailing Address
First Line	:	215 J AVE
Second Line	:
City	:	KALONA
State	:	IA
Zip	:	52247-9346
Country	:	US
Telephone Number	:	319-656-3009
Fax Number	:

Provider Business Practice Location Address
First Line	:	1933 KEOKUK ST
Second Line	:	SUITE 1
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4443
Country	:	US
Telephone Number	:	319-337-7387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/09/2007

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