Hardt, Henry D
Hardt, Henry D is an sole proprietor health care provider with primary practice located at 4555 Lake Shore Dr , Waco TX 76710-1814. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hardt, Henry D can be contacted via phone (254) 776-0400.Contact Information
Primary practice address
4555 Lake Shore Dr
Waco TX 76710-1814
Phone: (254) 776-0400
Fax: (254) 776-0637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 865 | Texas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20734 | Texas |
Profile Details
| NPI number | 1033109442 |
|---|---|
| LBN Legal business name | Hardt, Henry D |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Oct 10th, 2012 - about 12 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 | 1033109442 | NPPES |
| Texas | MEDICAID | 033135701 |
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