Doctor Name: | ANNE T HARDERS |
NPI Number: | 1063584985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 006826 |
Business Practice Address: | 55 Nye Rd Suite 102 Glastonbury, CT - 060331281 |
Business Phone Number: | 8606573056 |
Business Fax Number: | 8606333517 |
Mailing Address: | 55 Nye Rd, Suite 102 GLASTONBURY |
State: | CT |
Postal Code: | 060331281 |
Phone Number: | 8606573056 |
Fax Number: | 8606333517 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |