Gardner, Joseph

Gardner, Joseph is an individual health care provider with primary practice located at 2020 Centre Street , West Roxbury MA 02132. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gardner, Joseph can be contacted via phone (617) 325-6700.

Contact Information

Primary practice address
2020 Centre Street West Roxbury MA 02132
Phone: (617) 325-6700
Fax: (617) 325-6581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3990 Massachusetts

Profile Details

NPI number 1053372490
LBN Legal business name Gardner, Joseph
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1053372490 NPPES
Massachusetts Other 3990 LMHC DIV OF PROF LICENSE
Massachusetts Other 1910 LMHC DIV OF PROF LICENSE

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