Provider Demographics
NPI:1316055569
Name:SWITZKY, HARVEY NEWTON (PHD)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:NEWTON
Last Name:SWITZKY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:PROF
Other - First Name:HARVEY
Other - Middle Name:NEWTON
Other - Last Name:SWITZKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:125 STONEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-1022
Mailing Address - Country:US
Mailing Address - Phone:815-758-8478
Mailing Address - Fax:
Practice Address - Street 1:125 STONEY CREEK RD
Practice Address - Street 2:
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-1022
Practice Address - Country:US
Practice Address - Phone:815-758-8478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical