Harry Ravon Gardner in Wilmington - Group Psychotherapy

Harry Ravon Gardner - NPI 1790965069

Harry Ravon Gardner is a Group Psychotherapy in Wilmington, Delaware. Harry Ravon Gardner practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Harry Ravon Gardner is 1790965069. The last update date is 2007-11-05.

Harry Ravon Gardner's current location address is 625 N Orange St, Wilmington, Delaware. You can contact this provider via phone number 3026564044 and fax number 3026563439. The mailing address for Harry Ravon Gardner is 625 N Orange St, Wilmington, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Harry Ravon Gardner
Address 625 N Orange St, Wilmington, Delaware
Phone Number 3026564044
Fax Number 3026563439
Sole Proprietor N
Credentials MSW LLP PH

NPI Number Detail

NPI Number 1790965069
Provider Enumeration Date 2007-11-05
Last Updated Date 2007-11-05

Provider Mailing Address Detail

Address 625 N Orange St
City Wilmington
State Delaware (DE)
Post Code 198012296
Phone Number 3026564044
Fax Number 3026563439

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
103TP2701X DE --

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FAQs about Harry Ravon Gardner

What is the Harry Ravon Gardner's 1790965069?

The Harry Ravon Gardner's NPI (National Provider Identifier) Number is 1790965069. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Harry Ravon Gardner's facilities are geographically located?

The facilities of Harry Ravon Gardner are physically situated at the following location: 625 N Orange St, Wilmington, DE, 198012296.

What is Harry Ravon Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Harry Ravon Gardner's area of specialization is Group Psychotherapy, and the corresponding taxonomy code that categorizes this field of practice is 103Tp2701X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790965069 to Harry Ravon Gardner?

The Centers for Medicare & Medicaid Services assigned the 1790965069 to Harry Ravon Gardner on 2007-11-05.

As of what date were the details related to Harry Ravon Gardner most recently updated or revised?

The information pertaining to Harry Ravon Gardner, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-05.

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