MEDICARE: DR. CLAUDIA HARDWICK PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0694	OR

General Provider Information

NPI Number	:	1104913979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIA HARDWICK PH.D

Provider Business Mailing Address
First Line	:	3003 WILLAMETTE STREET
Second Line	:	SUITE F
City	:	EUGENE
State	:	OR
Zip	:	97405-3295
Country	:	US
Telephone Number	:	541-953-0048
Fax Number	:	541-736-8358

Provider Business Practice Location Address
First Line	:	3003 WILLAMETTE STREET
Second Line	:	SUITE F
City	:	EUGENE
State	:	OR
Zip	:	97405-3295
Country	:	US
Telephone Number	:	541-953-0048
Fax Number	:	541-736-8358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/08/2007

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