Individual
DR. DOUGLAS MARK HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9455 W WATERTOWN PLANK RD, MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION, MILWAUKEE, WI 53226-3559
(414) 257-6995
Mailing address
9455 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1815-057
WI
103TC0700X
Clinical Psychologist
1815057
WI
Other
Enumeration date
09/01/2006
Last updated
09/30/2008
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