Gardner, Katherine

Gardner, Katherine is an individual health care provider with primary practice located at 289 Independence Blvd Pembroke 3 Ste 221, Virginia Beach VA 23462-5493. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gardner, Katherine can be contacted via phone (757) 498-9320.

Contact Information

Primary practice address
289 Independence Blvd Pembroke 3 Ste 221 Virginia Beach VA 23462-5493
Phone: (757) 498-9320
Fax: (757) 498-9321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701002587 Virginia

Profile Details

NPI number 1760465462
LBN Legal business name Gardner, Katherine
Credentials MS LPC PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
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 1760465462 NPPES
Virginia Other 081536 SENTARA
Virginia Other 148813 SENTARA
Virginia Other 466591 SENTARA
Virginia Other 190697 SENTARA
Virginia Other 453371 SENTARA
Virginia Other 2038918 SENTARA
Virginia Other 154359 SENTARA

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