Gardepe, James Preston

Gardepe, James Preston is an sole proprietor health care provider with primary practice located at 915 Willowbrook Dr Se Suite C, Huntsville AL 35802-3262. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gardepe, James Preston can be contacted via phone (256) 882-2004.

Contact Information

Primary practice address
915 Willowbrook Dr Se Suite C Huntsville AL 35802-3262
Phone: (256) 882-2004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 523 Alabama
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 523 Alabama
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 523 Alabama

Profile Details

NPI number 1548392129
LBN Legal business name Gardepe, James Preston
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Mar 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548392129 NPPES
Alabama MEDICAID 000074448
Alabama Other 510-74448GAR
Alabama MEDICAID 529400650

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