Individual
DR. DANIEL ALEXANDER HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
112 BEECH ST, GATE CITY, VA 24251-3638
(276) 386-3803
Mailing address
523 PENNSYLVANIA AVE, BRISTOL, TN 37620-3818
(423) 967-0784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810003100
VA
103TC0700X
Clinical Psychologist
Primary
P0000002458
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010046394
—
VA
Enumeration date
03/09/2006
Last updated
03/29/2011
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