Provider Demographics
NPI:1194829689
Name:HARTEN, DAVID DEAN
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:DEAN
Last Name:HARTEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-1821
Mailing Address - Country:US
Mailing Address - Phone:814-362-6535
Mailing Address - Fax:814-362-7358
Practice Address - Street 1:110 CAMPUS DR
Practice Address - Street 2:THE GUIDANCE CENTER
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-1982
Practice Address - Country:US
Practice Address - Phone:814-362-6535
Practice Address - Fax:814-362-7358
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004191L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist