THEODORE GARDNER

TWIN FALLS, ID
NPI1851649461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY-202709)
Enumeration Date2012-08-29
Last Update Date2017-08-17
Business Address
Dr. THEODORE GARDNER Ph.D.
401 GOODING ST N STE 105
TWIN FALLS, ID 83301-6177
Phone number: 208-320-7525
Mailing Address
Dr. THEODORE GARDNER Ph.D.
PO BOX 231396
MONTGOMERY, AL 36123-1396
Phone number: 334-213-8803
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