MEDICARE: DR. KRISTIN ELIZABETH DAY HARDWIG PSYD

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	3786	AZ

General Provider Information

NPI Number	:	1235290909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIN ELIZABETH DAY HARDWIG PSYD

Provider Business Mailing Address
First Line	:	4545 N 36TH ST STE 204
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3474
Country	:	US
Telephone Number	:	602-451-3583
Fax Number	:	602-955-3430

Provider Business Practice Location Address
First Line	:	4545 N 36TH ST STE 204
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3474
Country	:	US
Telephone Number	:	602-451-3583
Fax Number	:

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	09/09/2024

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