Provider Demographics
NPI:1467451377
Name:BARDI, C. ALBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:C.
Middle Name:ALBERT
Last Name:BARDI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12780 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-2044
Mailing Address - Country:US
Mailing Address - Phone:910-276-7298
Mailing Address - Fax:484-971-3240
Practice Address - Street 1:1700 DOGWOOD MILE ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5521
Practice Address - Country:US
Practice Address - Phone:910-277-5328
Practice Address - Fax:910-277-5020
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2355103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical