Provider Demographics
NPI:1003913757
Name:HARMAN, DAVID WORTH (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WORTH
Last Name:HARMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 LANSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1621
Mailing Address - Country:US
Mailing Address - Phone:610-348-7511
Mailing Address - Fax:
Practice Address - Street 1:1950 STREET RD STE 410
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3752
Practice Address - Country:US
Practice Address - Phone:610-348-7511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006401103T00000X
PAPS-006401-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHA 729846Medicare ID - Type Unspecified