Provider Demographics
NPI:1598413056
Name:HARDT, MADELEINE MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:MARIE
Last Name:HARDT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-2222
Mailing Address - Country:US
Mailing Address - Phone:570-765-1294
Mailing Address - Fax:
Practice Address - Street 1:12 CHESTER ST
Practice Address - Street 2:
Practice Address - City:LOCUST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:11560-2222
Practice Address - Country:US
Practice Address - Phone:570-765-1294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026958-01103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist