Victorio M. Gardner in Detroit - Clinical Child & Adolescent
Victorio M. Gardner - NPI 1376691964
Victorio M. Gardner is a Clinical Child & Adolescent in Detroit, Michigan. Victorio M. Gardner practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Victorio M. Gardner is 1376691964. The last update date is 2023-09-19.
Victorio M. Gardner's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139162600. The mailing address for Victorio M. Gardner is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victorio M. Gardner |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139162600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1376691964 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139162600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 6301009431 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code issued to Victorio M. Gardner by the Centers for Medicare & Medicaid Services?
The Victorio M. Gardner has been assigned the NPI (National Provider Identifier) 1376691964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Victorio M. Gardner is physically located?
The Victorio M. Gardner is situated at the following address: 2799 W Grand Blvd, Detroit, MI 482022608.
What is Victorio M. Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Victorio M. Gardner's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376691964 to Victorio M. Gardner?
The Centers for Medicare & Medicaid Services assigned the 1376691964 to Victorio M. Gardner on 2007-01-08.
When was the information regarding Victorio M. Gardner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Victorio M. Gardner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-19.
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