Delgardo, Gina M

Delgardo, Gina M is an individual health care provider with primary practice located at 4850 W Oakland Park Blvd Suite 100, Lauderdale Lakes FL 33313-7260. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is her primary health care specialty. Delgardo, Gina M can be contacted via phone (954) 730-2789.

Contact Information

Primary practice address
4850 W Oakland Park Blvd Suite 100 Lauderdale Lakes FL 33313-7260
Phone: (954) 730-2789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY5079 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5079 Florida
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY5079 Florida
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY5079 Florida

Profile Details

NPI number 1902028160
LBN Legal business name Delgardo, Gina M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Aug 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902028160 NPPES
Florida Other 650829436 TAX ID

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