| Sheila H. Gardner, Phd, Llc | |
|
8 Jenkins Ct Suite 405 Durham NH 03824-2323 | |
| (603) 508-0309 | |
| (603) 509-9585 |
| Full Name | Sheila H. Gardner, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8 Jenkins Ct, Durham, New Hampshire |
| Authorized Official Name and Position | Sheila H. Gardner (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6035080309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheila H. Gardner, Phd, Llc 8 Jenkins Ct Suite 405 Durham NH 03824-2323 Ph: (603) 508-0309 | Sheila H. Gardner, Phd, Llc 8 Jenkins Ct Suite 405 Durham NH 03824-2323 Ph: (603) 508-0309 |
| NPI Number | 1639437387 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Medicare PECOS PAC ID | 9739344433 |
|---|---|
| Medicare Enrollment ID | O20120703000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639437387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 995 (New Hampshire) | Primary |
| Provider Name | Sheila H Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992960744 PECOS PAC ID: 1456549336 Enrollment ID: I20101218000060 |
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