Provider Demographics
NPI:1033257555
Name:HARDY, VERONICA (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242
Mailing Address - Country:US
Mailing Address - Phone:603-428-3479
Mailing Address - Fax:
Practice Address - Street 1:13 GREEN ST
Practice Address - Street 2:CHILD AND FAMILY SERVICES
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-224-7479
Practice Address - Fax:603-224-7445
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH494101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH14Y009980NH01OtherBHN
NH2075749OtherCIGNA
NH30424130Medicaid