Individual
DR. DAVID A. EARDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.ED.
Contact information
Practice address
110 BRISTOL LN, HOLLIDAYSBURG, PA 16648-2933
(814) 695-7931
Mailing address
110 BRISTOL LN, HOLLIDAYSBURG, PA 16648-2933
(814) 695-7931
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003090-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001474815 0002
—
PA
Enumeration date
08/16/2006
Last updated
07/09/2007
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