Provider Demographics
NPI:1235379116
Name:HARDY, JUDITH ATKINSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ATKINSON
Last Name:HARDY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BURD STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-3250
Mailing Address - Country:US
Mailing Address - Phone:845-353-6879
Mailing Address - Fax:845-818-3537
Practice Address - Street 1:48 BURD ST
Practice Address - Street 2:SUITE 303
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3226
Practice Address - Country:US
Practice Address - Phone:845-353-6879
Practice Address - Fax:845-818-3537
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010476103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist