Healthcare Provider Details

I. General information

NPI: 1356556807
Provider Name (Legal Business Name): JUNE E. HARDY L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 UNION ST
EASTHAMPTON MA
01027-1468
US

IV. Provider business mailing address

19 MARC CIR
FLORENCE MA
01062-1031
US

V. Phone/Fax

Practice location:
  • Phone: 141-352-9176
  • Fax:
Mailing address:
  • Phone: 141-358-4785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number201835
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: