Individual
LYNN D HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
11070 183RD CIR NW, ELK RIVER, MN 55330-2842
(763) 633-5111
(763) 633-5112
Mailing address
11070 183RD CIR NW, ELK RIVER, MN 55330-2842
(763) 633-5111
(763) 633-5112
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3938
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640721800
—
MN
Enumeration date
08/26/2005
Last updated
07/08/2007
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