Provider Demographics
NPI:1295948271
Name:HARBISON, DANA (MSOM)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:HARBISON
Suffix:
Gender:F
Credentials:MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N. BEHTLEHM PIKE, SUITE 117
Mailing Address - Street 2:
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477
Mailing Address - Country:US
Mailing Address - Phone:215-646-6530
Mailing Address - Fax:215-542-0508
Practice Address - Street 1:1000 N BETHLEHEM PIKE SUITE 117
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477
Practice Address - Country:US
Practice Address - Phone:215-646-6530
Practice Address - Fax:215-542-0508
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000806171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist