Provider Demographics
NPI:1598834624
Name:GARDNER, ALDEN RALPH (SR PSYCH EXAMINER)
Entity Type:Individual
Prefix:MR
First Name:ALDEN
Middle Name:RALPH
Last Name:GARDNER
Suffix:
Gender:M
Credentials:SR PSYCH EXAMINER
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Mailing Address - Street 1:1901 W CLINCH AVE
Mailing Address - Street 2:PATRICIA NEAL REHABILITATION CENTER
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2307
Mailing Address - Country:US
Mailing Address - Phone:865-541-1699
Mailing Address - Fax:865-541-4909
Practice Address - Street 1:1901 W CLINCH AVE
Practice Address - Street 2:PATRICIA NEAL REHABILITATION CENTER
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2307
Practice Address - Country:US
Practice Address - Phone:865-541-1699
Practice Address - Fax:865-541-4909
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNPE 0000000032174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist