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Contact Information

MARTIN D GARDNER, QMHP
404 SYCAMORE RD
PORTSMOUTH, VA23707-1219
 Phone: 252-679-8084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for MARTIN D GARDNER · (Male)

NPI Number 1821895301
Status Active
Credentials QMHP
Entity Individual
Enumeration date 03/03/2025
Last updated 06/08/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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