Provider Demographics
NPI:1922217462
Name:DOPPELT, HARVEY G (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:G
Last Name:DOPPELT
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 1:340 DAVID DR
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1022
Mailing Address - Country:US
Mailing Address - Phone:610-446-8555
Mailing Address - Fax:
Practice Address - Street 1:18C TROLLEY SQ
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3355
Practice Address - Country:US
Practice Address - Phone:302-757-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1 0000321103TB0200X
PAPS-003891-L103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral