Basic Information
Provider Information
NPI: 1073571451
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABRAMS
FirstName: HARVEY
MiddleName: B
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2701 PINELLAS POINT DR S
Address2:  
City: ST PETERSBURG
State: FL
PostalCode: 337125564
CountryCode: US
TelephoneNumber: 7278643231
FaxNumber:  
Practice Location
Address1: BAY PINES VA HEALTHCARE SYSTEM
Address2: 10000 BAY PINES BLVD
City: ST. PETERSBURG
State: FL
PostalCode: 33708
CountryCode: US
TelephoneNumber: 7273986661
FaxNumber: 7273191209
Other Information
ProviderEnumerationDate: 05/03/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XAY381FLY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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