Ms. Eunice Grace Gardner
Psychologist Cognitive & Behavioral Psychologist Adult Development & Aging Psychologist
777 Hospital Way
Pocatello
, Idaho 83201-5175
Ms. Eunice Grace Gardner
Psychologist Cognitive & Behavioral Psychologist Adult Development & Aging Psychologist
777 Hospital Way
Pocatello
, Idaho 83201-5175
(208) 239-1710
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About
Features
Specialties
- Psychologist
- Adult Development & Aging Psychologist
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Ms. Eunice Grace Gardner
- 777 Hospital Way
- Pocatello, ID
- Zip : 83201-5175
- Phone : (208) 239-1710
Second Address
- Ms. Eunice Grace Gardner
- 777 Hospital Way
- Pocatello, ID
- Zip : 83201-5175
- Phone : (208) 239-1710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | ||
| N | 103T00000X | Psychologist | ||
| Y | 103TA0700X | Adult Development & Aging Psychologist | ||
| N | 103TB0200X | Cognitive & Behavioral Psychologist |
National Provider Identifier
| NPI | 1003128265 |
|---|---|
| Provider Name | Ms. Eunice Grace Gardner |
| First Address | Pocatello, ID 83201-5175 |
| Second Address | Pocatello, ID 83201-5175 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2010 |
| Last Update Date | 24/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.