Hardenburgh, Nicole Dorio
Hardenburgh, Nicole Dorio is an individual health care provider with primary practice located at Usa Meddac 11050 Mt. Belvedere Blvd., Fort Drum NY 13602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hardenburgh, Nicole Dorio can be contacted via phone (315) 772-6184.Contact Information
Primary practice address
Usa Meddac 11050 Mt. Belvedere Blvd.
Fort Drum NY 13602
Phone: (315) 772-6184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2020029140 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 025392-01 | New York |
Profile Details
| NPI number | 1194324343 |
|---|---|
| LBN Legal business name | Hardenburgh, Nicole Dorio |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2020 |
| Last updated | Mar 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194324343 | NPPES |
| Missouri | MEDICAID | 490089658 | |
| Missouri | Other | 824000481 |
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