Individual
DR. LEORA JOSEPHA GARDNER-SCHAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1499 W PALMETTO PARK RD, STE 172, BOCA RATON, FL 33486-3328
(561) 414-1650
(561) 423-7961
Mailing address
222 YAMATO RD, STE 106-333, BOCA RATON, FL 33431-4704
(561) 414-1650
(561) 423-7961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002347800
—
FL
Enumeration date
08/29/2006
Last updated
09/05/2015
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