Gardner, Harry Ravon

Gardner, Harry Ravon is an individual health care provider with primary practice located at 625 N Orange St , Wilmington DE 19801-2296. He recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as his primary health care specialty. Gardner, Harry Ravon can be contacted via phone (302) 656-4044.

Contact Information

Primary practice address
625 N Orange St Wilmington DE 19801-2296
Phone: (302) 656-4044
Fax: (302) 656-3439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1790965069
LBN Legal business name Gardner, Harry Ravon
Credentials MSW LLP PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 2007 - about 18 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 1790965069 NPPES
Delaware MEDICAID 103TP2701X

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