DR. JUDITH GARDNER PH.D. NPI 1578955092

NPI Information

NPI: 1578955092
Provider Name: DR. JUDITH GARDNER, PH.D.
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
1050 FOREST HILL RD
STATEN ISLAND, NY
ZIP 10314
Phone: (347) 752-0586
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DR. Judith Gardner, PH.D. is an intellectual and developmental disabilities in Staten Island, NY. DR. Judith Gardner, PH.D. NPI is 1578955092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 FOREST HILL RD
STATEN ISLAND, NY
ZIP 10314-356
Phone: (347) 752-0586

The enumeration date for this NPI number is 2/19/2015 and was last updated on 2/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	008570-1	NEW YORK	No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	008570-1	NEW YORK	No
3	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	008570-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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