Organization Name: | DAVID M HARVEY PHD P A |
NPI Number: | 1174783161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MERIWETHER HARVEY (PRESIDENT) |
Mailing Address: | 4400 Marsh Landing Blvd Suite 6 Ponte Vedra Beach |
State: | FL US |
Postal Code: | 320827215 |
Phone Number: | 9042801221 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2008 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY 3912 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |