Individual provider · Type 1 NPI

Beverly Gardner, PhD

Psychologist · Salt Lake City, UT

NPI number 1629058623 Active

Practice location

1545 E 3300 S
Salt Lake City, UT 84106-3370

Specialties and licenses

Taxonomy	Code	License
Psychologist Primary	103T00000X	None listed

Psychologist: 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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1629058623

Beverly Gardner, PhD's National Provider Identifier is 1629058623, issued on Jan 18, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 13, 2026.