Doctor Name: | DANIEL ANTHONY NOVAK |
NPI Number: | 1528139649 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | PS004709-L |
Business Practice Address: | 357 Homestead Dr Harleysville, PA - 194382113 |
Business Phone Number: | 2152560188 |
Business Fax Number: | |
Mailing Address: | 357 Homestead Dr, HARLEYSVILLE |
State: | PA |
Postal Code: | 194382113 |
Phone Number: | 2152560188 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS004709-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |