Individual
MR. GARY THOMAS HARDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
346 KANAN RD, #104, OAK PARK, CA 91377-1100
(818) 991-9832
(818) 991-6616
Mailing address
346 KANAN RD, #104, OAK PARK, CA 91377-1100
(818) 991-9832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3312
CA
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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