Provider Demographics
NPI:1922060458
Name:HARDT, CAROL ALANNA (MA-CCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ALANNA
Last Name:HARDT
Suffix:
Gender:F
Credentials:MA-CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 437 BOX 1125
Mailing Address - Street 2:
Mailing Address - City:APO AE
Mailing Address - State:GERMANY
Mailing Address - Zip Code:09267
Mailing Address - Country:DE
Mailing Address - Phone:0621-730-2461
Mailing Address - Fax:01621-730-3467
Practice Address - Street 1:CMR 437 BOX 1125
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:GERMANY
Practice Address - Zip Code:APO AE 09267
Practice Address - Country:DE
Practice Address - Phone:0621-730-2461
Practice Address - Fax:0621-730-3467
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 5127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist