Individual
MICHELLE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
125 W F ST STE 101, ONTARIO, CA 91762-3201
(909) 563-7076
(909) 909-9864
Mailing address
853 E PENNSYLVANIA AVE, REDLANDS, CA 92374-2569
(909) 856-5724
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
30417
CA
Other
Enumeration date
10/22/2021
Last updated
07/14/2024
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