Individual
REBECCA J HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1413 LASKIN RD, VIRGINIA BEACH, VA 23451-6007
(757) 263-2400
Mailing address
2208 N LAKESIDE DR, VIRGINIA BEACH, VA 23454-2018
(757) 632-8176
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000591
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813000591
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
05/29/2018
Last updated
05/29/2018
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