Provider Demographics
NPI:1093337594
Name:GARDNER PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:GARDNER PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:559-420-7830
Mailing Address - Street 1:13700 E PARLIER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:PARLIER
Mailing Address - State:CA
Mailing Address - Zip Code:93648-2421
Mailing Address - Country:US
Mailing Address - Phone:559-420-7830
Mailing Address - Fax:
Practice Address - Street 1:13700 E PARLIER AVE STE C
Practice Address - Street 2:
Practice Address - City:PARLIER
Practice Address - State:CA
Practice Address - Zip Code:93648-2421
Practice Address - Country:US
Practice Address - Phone:559-420-7830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health