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Individual

DR. DAVID DURST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
119 AMBERLEIGH LN STE 119, BELLEFONTE, PA 16823-8488
(814) 380-9392
Mailing address
119 AMBERLEIGH LN STE 119, BELLEFONTE, PA 16823-8488
(814) 380-9392
(814) 470-4160

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018769
PA
103TC1900X
Counseling Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1036169120001
PA
Enumeration date
04/10/2017
Last updated
01/19/2024
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