| Doctor Name: | DR. DANIEL ALEXANDER HARDWICK |
| NPI Number: | 1346218914 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 0810003100 |
| Business Practice Address: | 112 Beech St Gate City, VA - 242513638 |
| Business Phone Number: | 2763863803 |
| Business Fax Number: | |
| Mailing Address: | 523 Pennsylvania Ave, BRISTOL |
| State: | TN |
| Postal Code: | 376203818 |
| Phone Number: | 4239670784 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 03/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810003100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |