Provider Demographics
NPI:1881571032
Name:HARDY, DARREN WILLIAM (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:WILLIAM
Last Name:HARDY
Suffix:
Gender:M
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:DAREN
Other - Middle Name:WILLIAM
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 W WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAKE
Mailing Address - State:CA
Mailing Address - Zip Code:93286-1238
Mailing Address - Country:US
Mailing Address - Phone:559-308-0907
Mailing Address - Fax:
Practice Address - Street 1:300 W WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:WOODLAKE
Practice Address - State:CA
Practice Address - Zip Code:93286-1238
Practice Address - Country:US
Practice Address - Phone:559-308-0907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool