Lamaurice H Gardner PSYD

NPI 1013945229 - Psychologist - 103TC0700X

NPI Details
NPI 1013945229
Gender Male
Enumeration Date 06/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
22250 PROVIDENCE DR
SUITE 207
SOUTHFIELD MI, 48075-4825, US
Phone (313) 576-1000
Fax
Business Location
22250 PROVIDENCE DR
SUITE 207
SOUTHFIELD MI, 48075-4825, US
Phone (313) 576-1000
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Michigan
License Number 6301007265
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According to our database, Lamaurice H Gardner PSYD NPI is 1013945229, taxonomy code is 103TC0700X and license number is 6301007265, license state is located at Michigan. Lamaurice H Gardner PSYD physically located at 22250 Providence Dr, Southfield MI, 48075-4825. NPI Number Lamaurice H Gardner PSYD has the Individual type.

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1013945229 NPI number is provided on an as is basis without warranty of any kind. 1013945229 is maintained by the National Plan & Provider Enumeration System. The contents of Lamaurice H Gardner PSYD are for informational purposes only.