Gardner, Lauren Michelle

Gardner, Lauren Michelle is an individual health care provider with primary practice located at 601 5Th St S , Saint Petersburg FL 33701-4804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gardner, Lauren Michelle can be contacted via phone (727) 767-8105.

Contact Information

Primary practice address
601 5Th St S Saint Petersburg FL 33701-4804
Phone: (727) 767-8105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X P3070 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P3070 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY9501 Florida

Profile Details

NPI number 1700124740
LBN Legal business name Gardner, Lauren Michelle
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2013
Last updated Nov 17th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700124740 NPPES
Tennessee Other P3070 STATE LICENSE
Tennessee Other PY9501 STATE LICENSE

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