National Provider Identifier Database

ERIC J GARDNER, PSY. D. – NPI #1861688269
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

ERIC J GARDNER, PSY. D.
516 EAST NIZHONI BLVD.
GALLUP, NM87301-1337
Phone: 505-722-1000
Fax: 505-722-1396
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Psychologist 103T00000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for ERIC J GARDNER

NPI Number 1861688269
Credentials PSY. D.
Entity Individual
Enumeration date 09/19/2007
Last updated 08/09/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 24300
  • CA License #: PSB33057
  • CA License #: PSY24300
  • CA Other: PSB33057 PSYCH. ASSISTANT NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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