Provider Demographics
NPI:1245247279
Name:HARVEY, VICKI KAYE (PSYD)
Entity type:Individual
Prefix:DR
First Name:VICKI
Middle Name:KAYE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 S ORANGE AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4980
Mailing Address - Country:US
Mailing Address - Phone:714-529-5712
Mailing Address - Fax:
Practice Address - Street 1:238 S ORANGE AVE STE 206
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4980
Practice Address - Country:US
Practice Address - Phone:714-529-5712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10912103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP10912Medicare ID - Type Unspecified