Provider Demographics
NPI:1043985708
Name:HARDIE, WILLIAM ALAN JR
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALAN
Last Name:HARDIE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 BOWDOIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-4050
Mailing Address - Country:US
Mailing Address - Phone:413-276-9987
Mailing Address - Fax:
Practice Address - Street 1:NORTHEAST FAMILY SERVICES
Practice Address - Street 2:55 PROVIDENCE HIGHWAY
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-0026
Practice Address - Country:US
Practice Address - Phone:774-206-1125
Practice Address - Fax:774-628-9657
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor