Healthcare Provider Details

I. General information

NPI: 1295798197
Provider Name (Legal Business Name): PATRICIA A HARDNER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 W 38TH ST
ERIE PA
16508-2531
US

IV. Provider business mailing address

956 W 38TH ST
ERIE PA
16508-2531
US

V. Phone/Fax

Practice location:
  • Phone: 814-864-9719
  • Fax: 814-866-1174
Mailing address:
  • Phone: 814-864-9719
  • Fax: 814-866-1174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS005271L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: