Provider Demographics
NPI:1104956267
Name:HARDY, RUTH E (PSY D)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:E
Last Name:HARDY
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:DR
Other - First Name:R.
Other - Middle Name:ELAINE
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSY D
Mailing Address - Street 1:20002 RIGGS RD
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-9535
Mailing Address - Country:US
Mailing Address - Phone:913-897-9588
Mailing Address - Fax:913-851-5156
Practice Address - Street 1:20002 RIGGS RD
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:KS
Practice Address - Zip Code:66085-9535
Practice Address - Country:US
Practice Address - Phone:913-897-9588
Practice Address - Fax:913-851-5156
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1278103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical