Provider Demographics
NPI:1821281825
Name:HARDT, CYNTHIA DAWN
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:DAWN
Last Name:HARDT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:DAWN
Other - Last Name:PARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5475 HIGHWAY 105
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77708-3800
Mailing Address - Country:US
Mailing Address - Phone:409-892-8840
Mailing Address - Fax:409-892-2633
Practice Address - Street 1:5475 HIGHWAY 105
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-3800
Practice Address - Country:US
Practice Address - Phone:409-892-8840
Practice Address - Fax:409-892-2633
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50706237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist