Gardner, Terie Lynn
Gardner, Terie Lynn is an sole proprietor health care provider with primary practice located at 1745 Enterprise Dr , Fairfield CA 94533-5801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gardner, Terie Lynn can be contacted via phone (707) 399-4900.Contact Information
Primary practice address
1745 Enterprise Dr
Fairfield CA 94533-5801
Phone: (707) 399-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 21319 | California |
Profile Details
| NPI number | 1528120276 |
|---|---|
| LBN Legal business name | Gardner, Terie Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Mar 10th, 2011 - about 13 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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