MEDICARE: DR. JUDITH ATKINSON HARDY PHD

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	103T00000X	Psychologist	010476	NY

General Provider Information

NPI Number	:	1235379116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH ATKINSON HARDY PHD

Provider Business Mailing Address
First Line	:	48 BURD STREET
Second Line	:	SUITE 303
City	:	NYACK
State	:	NY
Zip	:	10960-3250
Country	:	US
Telephone Number	:	845-353-6879
Fax Number	:	845-818-3537

Provider Business Practice Location Address
First Line	:	48 BURD ST
Second Line	:	SUITE 303
City	:	NYACK
State	:	NY
Zip	:	10960-3226
Country	:	US
Telephone Number	:	845-353-6879
Fax Number	:	845-818-3537

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

Provider Enumeration Date	:	03/04/2009
Last Update Date	:	03/04/2009

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