Provider Demographics
NPI:1417284639
Name:HARDMAN, CINDI ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CINDI
Middle Name:ANN
Last Name:HARDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:HARDMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:MARY WALKER CLINIC, DEPT. OF BEHAVIORAL HEALTH
Mailing Address - Street 2:BLDG. 170
Mailing Address - City:FT. IRWIN
Mailing Address - State:CA
Mailing Address - Zip Code:92310
Mailing Address - Country:US
Mailing Address - Phone:760-380-6302
Mailing Address - Fax:760-380-6469
Practice Address - Street 1:MARY WALKER CLINIC, DEPT. OF BEHAVIORAL HEALTH
Practice Address - Street 2:BLDG. 170
Practice Address - City:FT. IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310
Practice Address - Country:US
Practice Address - Phone:760-380-6302
Practice Address - Fax:760-380-6469
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical