| David M Harvey Phd P A | |
|
4400 Marsh Landing Blvd Suite 6 Ponte Vedra Beach FL 32082-7215 | |
| (904) 280-1221 | |
| Not Available |
| Full Name | David M Harvey Phd P A |
|---|---|
| Speciality | Psychologist |
| Location | 4400 Marsh Landing Blvd, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | David Meriwether Harvey (PRESIDENT) |
| Authorized Official Contact | 9042801221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M Harvey Phd P A 4400 Marsh Landing Blvd Suite 6 Ponte Vedra Beach FL 32082-7215 Ph: (904) 280-1221 | David M Harvey Phd P A 4400 Marsh Landing Blvd Suite 6 Ponte Vedra Beach FL 32082-7215 Ph: (904) 280-1221 |
| NPI Number | 1174783161 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 06/27/2008 |
| Medicare PECOS PAC ID | 6507937364 |
|---|---|
| Medicare Enrollment ID | O20080623000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174783161 | NPI | - | NPPES |
| AK149 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 3912 (Florida) | Primary |
| Provider Name | David M Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922052257 PECOS PAC ID: 4688745532 Enrollment ID: I20080619000583 |
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