Provider Demographics
NPI:1518957737
Name:HARDY, VERONICA LATRICE (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LATRICE
Last Name:HARDY
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 BITTERSWEET CT
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2973
Mailing Address - Country:US
Mailing Address - Phone:610-277-6968
Mailing Address - Fax:610-272-4440
Practice Address - Street 1:21 W FORNANCE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3300
Practice Address - Country:US
Practice Address - Phone:610-277-6968
Practice Address - Fax:610-272-4440
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0140691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAO56801Medicare ID - Type Unspecified