MASHONDA LAFAYE HARDWICK
NPI 1366126187
Psychologist - Intellectual and Developmental Disabilities in Macon, GA
Active since June 12, 2023
About Mashonda Lafaye Hardwick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASHONDA LAFAYE HARDWICK (NPI 1366126187) is an individual intellectual and developmental disabilities provider in Macon, Georgia and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1366126187
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameMASHONDA LAFAYE HARDWICK
Location Address2352 HOLIDAY DRMacon, GA 31217-4414
Mailing Address2352 Holiday DrMacon, GA 31217-4414 · (478) 538-2672
Phone(478) 538-2672
Sole ProprietorNo
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1366126187 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
2352 HOLIDAY DR, Macon, GA 31217
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366126187, enumerated as an "individual" on June 12, 2023.
The provider is located at 2352 HOLIDAY DR MACON, GA 31217 and the phone number is (478) 538-2672.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
