Gardner, Rachel Anne

Gardner, Rachel Anne is an sole proprietor health care provider with primary practice located at 10 W Pulteney Sq Ste 102 , Bath NY 14810-1580. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is her primary health care specialty. Gardner, Rachel Anne can be contacted via phone (585) 204-7560.

Contact Information

Primary practice address
10 W Pulteney Sq Ste 102 Bath NY 14810-1580
Phone: (585) 204-7560
Fax: (585) 206-4903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 022851-1 New York
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Health Service 103TH0100X 56332

Profile Details

NPI number 1386044923
LBN Legal business name Gardner, Rachel Anne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2014
Last updated Oct 29th, 2020 - about 4 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 1386044923 NPPES
New York MEDICAID 05683858

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