Individual
DR. REX CLIFTON GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., PHD
Contact information
Practice address
1107 BELLE VIEW BLVD APT B1, ALEXANDRIA, VA 22307-6629
(202) 739-1380
Mailing address
1070 S LA BREA AVE, LOS ANGELES, CA 90019-6905
(213) 457-3387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
05/12/2016
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