Individual
DR. DAVID MERIWETHER HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4400 MARSH LANDING BLVD, SUITE 6, PONTE VEDRA BEACH, FL 32082-7215
(904) 280-1221
(425) 962-0007
Mailing address
4400 MARSH LANDING BLVD, SUITE 6, PONTE VEDRA BEACH, FL 32082-7215
(904) 280-1221
(425) 962-0007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 3912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593622637
FEDERAL TAX ID
FL
01
—
75994Z
MEDICARE PTAN
FL
Enumeration date
05/20/2006
Last updated
06/27/2008
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