| Gardner Solar Psychology Center | |
|
1499 W Palmetto Park Rd Ste 172 Boca Raton FL 33486-3328 | |
| (561) 414-1650 | |
| (561) 423-7961 |
| Full Name | Gardner Solar Psychology Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1499 W Palmetto Park Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Leora Josepha Gardner-schauder (OWNER) |
| Authorized Official Contact | 5614141650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner Solar Psychology Center 222 Yamato Rd Ste 106-333 Boca Raton FL 33431-4704 Ph: (561) 414-1650 | Gardner Solar Psychology Center 1499 W Palmetto Park Rd Ste 172 Boca Raton FL 33486-3328 Ph: (561) 414-1650 |
| NPI Number | 1992179634 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992179634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5116 (Florida) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY5116 (Florida) | Secondary |
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