Individual
MR. DAVID W HARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
112 S GREAT RD, LINCOLN, MA 01773-4700
(781) 259-8122
(781) 259-3739
Mailing address
112 S GREAT RD, LINCOLN, MA 01773-4700
(781) 259-8122
(781) 259-3739
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2323
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170817
AMISYS/MAGELLAN PROVIDER#
MA
01
—
2323
MA PSYCHOLOGISTLICENSEHSP
MA
01
—
W02492
BLUE CROSS/BLUE SHIELD ID
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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