Gardner, Theodore
Gardner, Theodore is an individual health care provider with primary practice located at 401 Gooding St N Ste 105, Twin Falls ID 83301-6177. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gardner, Theodore can be contacted via phone (208) 320-7525.Contact Information
Primary practice address
401 Gooding St N Ste 105
Twin Falls ID 83301-6177
Phone: (208) 320-7525
Fax: (208) 904-0644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202709 | Idaho |
Profile Details
| NPI number | 1851649461 |
|---|---|
| LBN Legal business name | Gardner, Theodore |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Aug 17th, 2017 - about 7 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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