Individual provider · Type 1 NPI
Theodore Gardner, PhD
Clinical Psychologist · Twin Falls, ID
Practice location
401 Gooding St N, Ste 105
Twin Falls, ID 83301-6177
Fax (208) 904-0644
Mailing address
PO Box 231396
Montgomery, AL 36123-1396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY-202709 (ID) |
Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1851649461
Theodore Gardner, PhD's National Provider Identifier is 1851649461, issued on Aug 29, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Twin Falls, ID. The record was last updated on Aug 17, 2017.