Provider Demographics
NPI:1194370684
Name:HARDY, EDWARD L
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:L
Last Name:HARDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 MOUNT AIRY RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-5945
Mailing Address - Country:US
Mailing Address - Phone:610-742-2998
Mailing Address - Fax:
Practice Address - Street 1:1825 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2407
Practice Address - Country:US
Practice Address - Phone:610-466-9250
Practice Address - Fax:610-466-9254
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor