Gardner, Eunice Grace

Gardner, Eunice Grace is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Gardner, Eunice Grace can be contacted via phone (208) 239-1710.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (208) 239-1710
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1003128265
LBN Legal business name Gardner, Eunice Grace
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2010
Last updated Oct 24th, 2011 - about 15 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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