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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952391534 NPPES
Indiana MEDICAID 200408260A
Indiana Other 000000225455
Indiana Other 277180000

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