Kristin Hardy, | |
1201 W La Veta Ave, Orange, CA 92868-4203 | |
(650) 862-3821 | |
Not Available |
Full Name | Kristin Hardy |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1201 W La Veta Ave, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538789151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | PSY33661 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Kristin Hardy, 325 Union Ave Apt 211, Campbell, CA 95008-4261 Ph: (650) 862-3821 | Kristin Hardy, 1201 W La Veta Ave, Orange, CA 92868-4203 Ph: (650) 862-3821 |
Dr. Azin Asli, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 City Pkwy W Ste 200, Orange, CA 92868 Phone: 714-834-5015 | |
Dr. Marni Carmela Switkin Nagel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 W La Veta Ave, 503, Orange, CA 92868 Phone: 714-532-8481 Fax: 714-532-8756 | |
Dr. Marissa Vasquez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1820 W Orangewood Ave Ste 105, Orange, CA 92868 Phone: 209-202-3454 | |
Dr. Jeffrey Derflinger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 746 E Chapman Ave, Orange, CA 92866 Phone: 949-725-7156 | |
Lawrence Eugene Hedges, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1439 E Chapman Ave, Orange, CA 92866 Phone: 714-633-3933 Fax: 714-633-3933 | |
Frances Rose Dowdy, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6829 E Pinnacle Pointe, Orange, CA 92869 Phone: 714-325-2263 | |
Makenna Wrobel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 N Eckhoff St, Orange, CA 92868 Phone: 714-704-6110 |