Provider Demographics
NPI:1487798880
Name:VELEBER, DAVID MATTHEWS (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MATTHEWS
Last Name:VELEBER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9343
Mailing Address - Country:US
Mailing Address - Phone:610-866-9763
Mailing Address - Fax:610-866-1936
Practice Address - Street 1:4555 EASTON AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9343
Practice Address - Country:US
Practice Address - Phone:610-866-9763
Practice Address - Fax:610-866-1936
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004736L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist