| Catherine A Gardner | |
|
205 N Providence Rd Media PA 19063-3505 | |
| (610) 299-6043 | |
| (610) 891-6654 |
| Full Name | Catherine A Gardner |
|---|---|
| Speciality | Psychologist |
| Location | 205 N Providence Rd, Media, Pennsylvania |
| Authorized Official Name and Position | Catherine A Gardner (OWNER) |
| Authorized Official Contact | 6102996043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine A Gardner 416 E Country Club Ln Wallingford PA 19086-6407 Ph: (610) 299-6043 | Catherine A Gardner 205 N Providence Rd Media PA 19063-3505 Ph: (610) 299-6043 |
| NPI Number | 1700211109 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 09/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700211109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS008649L (Pennsylvania) | Primary |
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