Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID THOMAS HARGRAVES, PH.D.
Active Sole ProprietorDR. DAVID THOMAS HARGRAVES, PH.D. is a Psychologist healthcare provider located in REXBURG, Idaho. NPI 1114128030 is currently active in the NPPES registry. Verify at CMS.
Psychologist · REXBURG, ID
Registration Details
- NPI Number
- 1114128030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2007 (19.184099258659 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY222 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
523 E 4TH SREXBURG, ID, 834402512Browse ID providers · Browse ZIP 83440
- Phone
- 2083590836
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.