Gardner, Eric J.
Gardner, Eric J. is an individual health care provider with primary practice located at 516 East Nizhoni Blvd. , Gallup NM 87301-1337. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gardner, Eric J. can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 East Nizhoni Blvd.
Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY24300 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | PSB33057 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 24300 | California |
Profile Details
| NPI number | 1861688269 |
|---|---|
| LBN Legal business name | Gardner, Eric J. |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Aug 9th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861688269 | NPPES |
| California | Other | PSB33057 | PSYCH. ASSISTANT NUMBER |
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