Provider Demographics
NPI:1447588132
Name:HARBAUGH, DAVID JOHN (LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOHN
Last Name:HARBAUGH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 STOCKTON TRL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-3035
Mailing Address - Country:US
Mailing Address - Phone:972-517-9270
Mailing Address - Fax:
Practice Address - Street 1:1604 STOCKTON TRL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-3035
Practice Address - Country:US
Practice Address - Phone:972-571-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16788101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health