Individual
HENRY D HARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4555 LAKE SHORE DR, WACO, TX 76710-1814
(254) 776-0400
(254) 776-0637
Mailing address
4555 LAKE SHORE DR, WACO, TX 76710-1814
(254) 776-0400
(254) 776-0637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
865
TX
103T00000X
Psychologist
Primary
20734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033135701
—
TX
Enumeration date
10/26/2005
Last updated
10/10/2012
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