Audrey S Gardener in Monroeville - Psychologist

Audrey S Gardener - NPI 1114908548

Audrey S Gardener is a Psychologist in Monroeville, Pennsylvania. Audrey S Gardener practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Audrey S Gardener is 1114908548. The last update date is 2007-07-08.

Audrey S Gardener's current location address is 2550 Mosside Blvd, Monroeville, Pennsylvania. You can contact this provider via phone number 4123733471 and fax number 4123737324. The mailing address for Audrey S Gardener is 2550 Mosside Blvd, Monroeville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Audrey S Gardener
Address 2550 Mosside Blvd, Monroeville, Pennsylvania
Phone Number 4123733471
Fax Number 4123737324
Sole Proprietor X
Credentials PHD

NPI Number Detail

NPI Number 1114908548
Provider Enumeration Date 2005-11-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2550 Mosside Blvd
City Monroeville
State Pennsylvania (PA)
Post Code 151463540
Phone Number 4123733471
Fax Number 4123737324

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PS 001496L
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
404963 PA HIGHMARK

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FAQs about Audrey S Gardener

What is the Audrey S Gardener's 1114908548?

The Audrey S Gardener's NPI (National Provider Identifier) Number is 1114908548. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Audrey S Gardener is physically located?

The Audrey S Gardener is situated at the following address: 2550 Mosside Blvd, Monroeville, PA 151463540.

What is Audrey S Gardener's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Audrey S Gardener is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

When did Audrey S Gardener receive its 1114908548 assignment?

The Audrey S Gardener was assigned its 1114908548 on 2005-11-11, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Audrey S Gardener, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Audrey S Gardener, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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