Organization
DAVID M HARVEY PHD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MERIWETHER HARVEY PHD (PRESIDENT)
(904) 280-1221
Entity
Organization
Contact information
Practice address
4400 MARSH LANDING BLVD, SUITE 6, PONTE VEDRA BEACH, FL 32082-7215
(904) 280-1221
Mailing address
4400 MARSH LANDING BLVD, SUITE 6, PONTE VEDRA BEACH, FL 32082-7215
(904) 280-1221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 3912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK149
MEDICARE PTAN
FL
Enumeration date
06/12/2008
Last updated
06/27/2008
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