Provider Demographics
NPI:1043322829
Name:DURKA, DAVID WALTER (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WALTER
Last Name:DURKA
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:DR DAVID DURKA 3201 HIGHFIELD DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-1113
Mailing Address - Country:US
Mailing Address - Phone:610-866-4944
Mailing Address - Fax:610-866-4389
Practice Address - Street 1:DR D DURKA 3201 HIGHFIELD DR SUITE H BETHLEHEM PA 18020
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-1113
Practice Address - Country:US
Practice Address - Phone:610-866-4944
Practice Address - Fax:610-866-4389
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002030L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
01416201OtherCAP BC
DU029917Medicare ID - Type Unspecified