Provider Demographics
NPI:1962401802
Name:HARVEY, PATRICIA (AUD, CCC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:AUD, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2336
Mailing Address - Country:US
Mailing Address - Phone:325-670-2134
Mailing Address - Fax:325-670-4390
Practice Address - Street 1:1934 HICKORY ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2336
Practice Address - Country:US
Practice Address - Phone:325-670-2134
Practice Address - Fax:325-670-4390
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50666237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80161AOtherBCBS TX PROVIDER NUMBER
TX80161AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER