Individual
DR. AUDREY S GARDENER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2550 MOSSIDE BLVD, STE 304, MONROEVILLE, PA 15146-3540
(412) 373-3471
(412) 373-7324
Mailing address
2550 MOSSIDE BLVD, STE 304, MONROEVILLE, PA 15146-3540
(412) 373-3471
(412) 373-7324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS 001496L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404963
HIGHMARK
PA
Enumeration date
11/11/2005
Last updated
07/08/2007
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