MEDICARE: DAVID MONTGOMERY HARB LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	1536	TN

General Provider Information

NPI Number	:	1487172417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MONTGOMERY HARB LMFT

Provider Business Mailing Address
First Line	:	920 WALDKIRCH AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-2427
Country	:	US
Telephone Number	:	310-497-7450
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 21ST AVE S STE 410
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-4350
Country	:	US
Telephone Number	:	615-497-6750
Fax Number	:	615-492-6710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	01/22/2022

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