Gardner, Theodore
Gardner, Theodore is an individual health care provider with primary practice located at 401 Gooding St N Ste 105, Twin Falls ID 83301-6177. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gardner, Theodore can be contacted via phone (208) 320-7525.Contact Information
Primary practice address
401 Gooding St N Ste 105
Twin Falls ID 83301-6177
Phone: (208) 320-7525
Fax: (208) 904-0644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202709 | Idaho |
Profile Details
| NPI number | 1851649461 |
|---|---|
| LBN Legal business name | Gardner, Theodore |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Aug 17th, 2017 - about 9 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.
Popular Providers
-
Smith, Richard Vaughn
526 M. Shoup Ave. W. Ste.#1 , Twin Falls ID 83301 -
Asher, Dorian W
101 S Park Ave Ste 8 , Idaho Falls ID 83402-3627 -
Kaufman, Charles R
464 Shoup Ave W Box 5591, Twin Falls ID 83301-5045 -
Henderson, Jennifer Lee
111 E. 16Th Street Innovative Health Care Concepts Inc., Idaho Falls ID 83401 -
Andelin, Sterling Don
2539 Channing Way Suite # 260, Idaho Falls ID 83404-7544 -
Landers, John Edward
2280 E 25Th St , Idaho Falls ID 83404-7542 -
Bishop, Kelli M
111 E 16Th St , Idaho Falls ID 83404-5919 -
Connor, Timothy A
211 S Woodruff Ave Suite J, Idaho Falls ID 83401-4369