| Doctor Name: | DR. KRISTY LYNN HARDWICK |
| NPI Number: | 1164760732 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC-S |
| License Number: | E0900019 |
| Business Practice Address: | 10999 Reed Hartman Hwy Suite 312 Blue Ash, OH - 452428331 |
| Business Phone Number: | 8592504861 |
| Business Fax Number: | |
| Mailing Address: | 10999 Reed Hartman Hwy, Suite 312 BLUE ASH |
| State: | OH |
| Postal Code: | 452428331 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2013 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E0900019 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |