Basic Information
Provider Information
NPI: 1003913757
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARMAN
FirstName: DAVID
MiddleName: WORTH
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 361 N MOREHALL RD
Address2:  
City: FRAZER
State: PA
PostalCode: 193551401
CountryCode: US
TelephoneNumber: 6103487511
FaxNumber:  
Practice Location
Address1: PROGRESSIONS BEHAVIORAL HEALTH SERVICES, INC.
Address2: 3300 HENRY AVE., FALLS CENTER THREE, SUITE 302
City: PHILADELPHIA
State: PA
PostalCode: 191291121
CountryCode: US
TelephoneNumber: 2159240684
FaxNumber: 2159243805
Other Information
ProviderEnumerationDate: 09/17/2006
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPS-006401-LPAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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