Provider Demographics
NPI:1558666461
Name:HARDY, KATE VICTORIA (CLINPSYCHD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:VICTORIA
Last Name:HARDY
Suffix:
Gender:F
Credentials:CLINPSYCHD
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:VICTORIA
Other - Last Name:BUSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CLINPSYCHD
Mailing Address - Street 1:401 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1419
Mailing Address - Country:US
Mailing Address - Phone:415-502-4557
Mailing Address - Fax:
Practice Address - Street 1:401 QUARRY RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1419
Practice Address - Country:US
Practice Address - Phone:415-502-4557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24475103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist