Provider Demographics
NPI:1841498144
Name:HARDIN, ELIZABETH K N (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:K N
Last Name:HARDIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:K N
Other - Last Name:WONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2825 E WEYMOUTH CIR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1229
Mailing Address - Country:US
Mailing Address - Phone:520-320-1051
Mailing Address - Fax:520-320-1051
Practice Address - Street 1:4550 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7004
Practice Address - Country:US
Practice Address - Phone:520-321-1310
Practice Address - Fax:520-321-1310
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3449103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical