Gardner, Judith

Gardner, Judith is an sole proprietor health care provider with primary practice located at 1050 Forest Hill Rd , Staten Island NY 10314-6356. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is her primary health care specialty. Gardner, Judith can be contacted via phone (347) 752-0586.

Contact Information

Primary practice address
1050 Forest Hill Rd Staten Island NY 10314-6356
Phone: (347) 752-0586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 008570-1 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 008570-1 New York
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 008570-1 New York

Profile Details

NPI number 1578955092
LBN Legal business name Gardner, Judith
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2015
Last updated Feb 19th, 2015 - about 9 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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