Individual
LAMAURICE H GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 207, SOUTHFIELD, MI 48075-4825
(313) 576-1000
Mailing address
22250 PROVIDENCE DR, SUITE 207, SOUTHFIELD, MI 48075-4825
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007265
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F34976
BLUE CROSS MICHIGAN
MI
Enumeration date
06/28/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us