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Contact Information

TODD W HARDENBROOK, MA, MTH, PHD(ABD)
20850 S LEWIS AVE
MOUNDS, OK74047-5616
 Phone: 831-889-0543
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for TODD W HARDENBROOK · (Male)

NPI # 1811847395
Status Active
Credentials MA, MTH, PHD(ABD)
Entity Individual
Enumeration date 02/02/2026
Last updated 02/02/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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