Gardner, Shaena Y

Gardner, Shaena Y is an sole proprietor health care provider with primary practice located at 6600 Van Aalst Blvd , Columbus GA 31905-2102. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gardner, Shaena Y can be contacted via phone (762) 408-2273.

Contact Information

Primary practice address
6600 Van Aalst Blvd Columbus GA 31905-2102
Fax:
Website:

Health care specialties

Profile Details

NPI number 1750692471
LBN Legal business name Gardner, Shaena Y
Credentials PSY.D, HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2010
Last updated Jun 11th, 2024 - about last year

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 1750692471 NPPES
Indiana MEDICAID 20077810A

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