Individual
DR. DAVID R FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
264 E BROAD ST, BETHLEHEM, PA 18018-6224
(610) 866-9311
(610) 882-2072
Mailing address
264 E BROAD ST, BETHLEHEM, PA 18018-6224
(610) 866-9311
(610) 882-2072
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006886L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02056702
CAPITAL BLUE CROSS
PA
01
—
0523970000
INDEPENDENCE BLUE CROSS
PA
01
—
276935000
MAGELLAN BEHAVIORAL HEALT
PA
01
—
680012420
RAIL ROAD MEDICARE
PA
01
—
708295
HIGHMARK
PA
01
—
7497155
AETNA
PA
Enumeration date
10/11/2005
Last updated
10/15/2009
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