Gardner, Paula Michelle
Gardner, Paula Michelle is an sole proprietor health care provider with primary practice located at 3209 W. Smith Valley Rd., #231 , Greenwood IN 46142-8511. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gardner, Paula Michelle can be contacted via phone (317) 801-1218.Contact Information
Primary practice address
3209 W. Smith Valley Rd., #231
Greenwood IN 46142-8511
Phone: (317) 801-1218
Fax: (317) 884-5518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041719A | Indiana |
Profile Details
| NPI number | 1952391534 |
|---|---|
| LBN Legal business name | Gardner, Paula Michelle |
| Credentials | PSYD, HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Nov 7th, 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 | 1952391534 | NPPES |
| Indiana | MEDICAID | 200408260A | |
| Indiana | Other | 000000225455 | |
| Indiana | Other | 277180000 |
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