Provider Demographics
NPI:1598855660
Name:HARLEM, DAVIDA PADAWER (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVIDA
Middle Name:PADAWER
Last Name:HARLEM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3564 CHIMNEY SWIFT DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3302
Mailing Address - Country:US
Mailing Address - Phone:215-947-1252
Mailing Address - Fax:215-947-8480
Practice Address - Street 1:3564 CHIMNEY SWIFT DR
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3302
Practice Address - Country:US
Practice Address - Phone:215-947-1252
Practice Address - Fax:215-947-8480
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003171L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHA404736Medicare ID - Type Unspecified