Provider Demographics
NPI:1285940304
Name:HARVEY, PEJCHARAT JANE (PHD)
Entity type:Individual
Prefix:DR
First Name:PEJCHARAT
Middle Name:JANE
Last Name:HARVEY
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 TYSINGER DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1955
Mailing Address - Country:US
Mailing Address - Phone:302-531-5049
Mailing Address - Fax:
Practice Address - Street 1:MCCANNELL HALL
Practice Address - Street 2:ROOM 200
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58202-9042
Practice Address - Country:US
Practice Address - Phone:701-777-2127
Practice Address - Fax:701-777-4189
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND432103TC1900X
103TP2701X
VA0810008069103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy