Individual
DR. MICHAEL D GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
132 S STATE ST, SALT LAKE CITY, UT 84111-1506
(801) 240-2428
Mailing address
132 S STATE ST, SALT LAKE CITY, UT 84111-1506
(801) 240-2428
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
117017-3902
UT
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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