Dr. THEODORE GARDNER -- Ph.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1851649461- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Ph.D.
- Status
- Active
Contact & Location
- Address
- 401 GOODING ST N STE 105, TWIN FALLS, ID, 833016177
- Phone
- (208) 320-7525
- Fax
- (208) 904-0644
Specialties & Taxonomies
Psychologist, Clinical
Primary License: ID #PSY-202709