Provider Demographics
NPI:1356382477
Name:HARDING, DANA CHRISTINE (PHD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:CHRISTINE
Last Name:HARDING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:DANA
Other - Middle Name:CHRISTINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1521 GREEN OAK PL STE 191
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2278
Mailing Address - Country:US
Mailing Address - Phone:346-202-5619
Mailing Address - Fax:281-657-9697
Practice Address - Street 1:1521 GREEN OAK PL STE 191
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2278
Practice Address - Country:US
Practice Address - Phone:346-202-5619
Practice Address - Fax:281-657-9697
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32864103TP2701X, 103TC1900X, 103T00000X, 103TC2200X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX31NUOtherBCBSTX
TX1819278-04Medicaid
TX2898132OtherCIGNA
TX600009OtherVALUEOPTIONS
TX7570870OtherAETNA
TXTXB101289Medicare PIN
TX31NUOtherBCBSTX