Durst, David
Durst, David is an sole proprietor health care provider with primary practice located at 119 Amberleigh Ln Ste 119 , Bellefonte PA 16823-8488. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Durst, David can be contacted via phone (814) 380-9392.Contact Information
Primary practice address
119 Amberleigh Ln Ste 119
Bellefonte PA 16823-8488
Phone: (814) 380-9392
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS018769 | Pennsylvania |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
NPI number | 1821521493 |
---|---|
LBN Legal business name | Durst, David |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 10th, 2017 |
Last updated | Jan 19th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821521493 | NPPES |
Pennsylvania | MEDICAID | 1036169120001 |
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