Individual
DR. VICKI J HARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 WESTMOOR DR, BROOKFIELD, WI 53005-4082
(262) 784-8887
(262) 796-9593
Mailing address
300 WESTMOOR DR, BROOKFIELD, WI 53005-4082
(262) 784-8887
(262) 796-9593
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2045-057
WI
103TA0700X
Adult Development & Aging Psychologist
2045-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39128300
—
WI
Enumeration date
09/21/2006
Last updated
04/02/2010
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