Jacquelyn L Gardner, is a
Psychologist - Clinical based in San Francisco,, California. Jacquelyn L Gardner is licensed to practice in California (license number PSY7469) and her current practice location is
1947 Divisadero St., Ste. 2, San Francisco,, California. She can be reached at her office (for appointments etc.) via phone at
(415) 441-4350.
NPI number for Jacquelyn L Gardner is 1699172080 and her current mailing address is 1947 Divisadero St., Suite 2, San Francisco, C, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699172080.
Healthcare Provider's Profile
Full Name | Jacquelyn L Gardner |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1947 Divisadero St., San Francisco,, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699172080
- Provider Enumeration Date: 12/01/2014
- Last Update Date: 12/01/2014
Medical Identifiers
Medical identifiers for Jacquelyn L Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699172080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY7469 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn L Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacquelyn L Gardner, 1947 Divisadero St., Suite 2, San Francisco, C, CA 94115 Ph: (415) 441-4350 | Jacquelyn L Gardner, 1947 Divisadero St., Ste. 2, San Francisco,, CA 94115 Ph: (415) 441-4350 |
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