Harder, Vicki J
Harder, Vicki J is an sole proprietor health care provider with primary practice located at 300 Westmoor Dr , Brookfield WI 53005-4082. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Harder, Vicki J can be contacted via phone (262) 784-8887.Contact Information
Primary practice address
300 Westmoor Dr
Brookfield WI 53005-4082
Phone: (262) 784-8887
Fax: (262) 796-9593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2045-057 | Wisconsin |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 2045-057 | Wisconsin |
Profile Details
| NPI number | 1205935756 |
|---|---|
| LBN Legal business name | Harder, Vicki J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 2nd, 2010 - about 14 years ago |
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 | 1205935756 | NPPES |
| Wisconsin | MEDICAID | 39128300 |
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