Individual
WAYNE W HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11803 W NORTH AVENUE, MILWAUKEE, WI 53226
(414) 259-0205
Mailing address
1001 W GLEN OAKS LN, STE 105, MEQUON, WI 53092-3365
(414) 365-3210
(414) 365-2937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1191057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39043000
—
WI
Enumeration date
07/13/2006
Last updated
01/11/2016
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