Provider Demographics
NPI:1306927009
Name:HARFORD, LAURIE DAWN (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:DAWN
Last Name:HARFORD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 N CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3437
Mailing Address - Country:US
Mailing Address - Phone:610-820-4006
Mailing Address - Fax:610-820-4007
Practice Address - Street 1:825 N CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3437
Practice Address - Country:US
Practice Address - Phone:610-820-4006
Practice Address - Fax:610-820-4007
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006636L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA13674200OtherMAGELLAN BEHAVIORAL HEALT
PA01864101Medicare UPIN
PA13674200OtherMAGELLAN BEHAVIORAL HEALT