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Contact Information

JUDITH GARDNER, PhD
1050 FOREST HILL RD
STATEN ISLAND, NY10314-6356
 Phone: 347-752-0586
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JUDITH GARDNER · (Female)

NPI Number 1578955092
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/19/2015
Last updated 02/19/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 008570-1
Hospital affiliation(s) Not Available
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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