Mary Gardner is a Clinical in Chicago, Illinois. Mary Gardner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Gardner is 1578721817. The last update date is 2008-05-22.
Mary Gardner's current location address is 203 N Wabash Ave, Chicago, Illinois. You can contact this provider via phone number 3123723322 and fax number 3123723326. The mailing address for Mary Gardner is 203 N Wabash Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Gardner |
|---|---|
| Address | 203 N Wabash Ave, Chicago, Illinois |
| Phone Number | 3123723322 |
| Fax Number | 3123723326 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1578721817 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 203 N Wabash Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606012406 |
| Phone Number | 3123723322 |
| Fax Number | 3123723326 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-004477 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Gardner by the Centers for Medicare & Medicaid Services?
The Mary Gardner has been assigned the NPI (National Provider Identifier) 1578721817 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary Gardner's physical address?
The Mary Gardner is physically located at 203 N Wabash Ave, in the city of Chicago, IL, with the postal code 606012406.
What is the Mary Gardner's specialty and taxonomy code?
The Mary Gardner's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did Mary Gardner receive its 1578721817 assignment from the Centers for Medicare & Medicaid Services?
The Mary Gardner was assigned its 1578721817 on 2008-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mary Gardner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Gardner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-22.
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