Individual
DR. MARVIN ALLEN GARDNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., D. MIN.
Contact information
Practice address
2727 ELECTRIC RD, SUITE 100, ROANOKE, VA 24018-3547
(540) 772-5153
(540) 772-5157
Mailing address
2727 ELECTRIC RD, SUITE 100, ROANOKE, VA 24018-3547
(540) 772-5153
(540) 772-5157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002488
VA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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