SearchIdahoClinical Psychologist

Theodore Gardner, PH.D

NPI 1851649461 · on the registry since 2012

Practice

Address
401 Gooding St N
Ste 105
Twin Falls, ID 83301
Phone
(208) 320-7525
Fax
(208) 904-0644
Organisation at this address
Hpa Idaho, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho