Provider Demographics
NPI:1295971240
Name:HARDENBERGH, KATHERINE (MA)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:HARDENBERGH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3245
Mailing Address - Country:US
Mailing Address - Phone:401-235-6028
Mailing Address - Fax:401-767-4099
Practice Address - Street 1:800 CLINTON ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3245
Practice Address - Country:US
Practice Address - Phone:401-235-6028
Practice Address - Fax:401-767-4099
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health