Healthcare Provider Details

I. General information

NPI: 1053749929
Provider Name (Legal Business Name): HILARY HARDING PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2013
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HAMPTON VA MEDICAL CTR
HAMPTON VA
23667-0001
US

IV. Provider business mailing address

4456 BARKINGDALE DR
VIRGINIA BEACH VA
23462-4648
US

V. Phone/Fax

Practice location:
  • Phone: 757-722-9961
  • Fax:
Mailing address:
  • Phone: 610-324-8627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810004850
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: