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HENRY D HARDT PH.D.

Addiction Substance Use Disorder

Waco, Texas

Provider NPI: 1033109442

Provider Information:
 HENRY D HARDT PH.D.
Gender: M
Sole Proprietor


Practice Location:
4555 LAKE SHORE DR  WACO, TX 76710 US
Tel: 254-776-0400  Fax: 254-776-0637

Business Mailing Address:
4555 LAKE SHORE DR  WACO, TX 76710 US
Tel: 254-776-0400  Fax: 254-776-0637

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
TX865
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
TX20734

Other Provider Identifiers:

IssuerNumberStateType
033135701TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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