Provider Demographics
NPI:1144302308
Name:DAVID E. HARMAN, PSY.D., A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:DAVID E. HARMAN, PSY.D., A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:661-273-5801
Mailing Address - Street 1:190 SIERRA CT STE B104
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-7603
Mailing Address - Country:US
Mailing Address - Phone:661-273-5801
Mailing Address - Fax:661-273-5901
Practice Address - Street 1:190 SIERRA CT STE B104
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-7603
Practice Address - Country:US
Practice Address - Phone:661-273-5801
Practice Address - Fax:661-273-5901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19561103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty