Provider Demographics
NPI:1265682066
Name:HARDY, MICHELLE CRUDUP (BS, MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:CRUDUP
Last Name:HARDY
Suffix:
Gender:F
Credentials:BS, MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 FLORAL PARK CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2799
Mailing Address - Country:US
Mailing Address - Phone:281-859-4647
Mailing Address - Fax:
Practice Address - Street 1:9411 FLORAL PARK CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2799
Practice Address - Country:US
Practice Address - Phone:281-859-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50334231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter