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Organization

DR. LEORA GARDNER, PH.D.,P.A.

Active
Parent organization
DR. LEORA GARDNER, PH.D.,P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DR. LEORA GARDNER, PH.D.,P.A.
Authorized official
DR. LEORA J GARDNER PH.D. (PRESIDENT)
(561) 414-1650
Entity
Organization

Contact information

Practice address
8177 GLADES ROAD, SUITE 215, BOCA RATON, FL 33434
(561) 414-1650
Mailing address
8177 GLADES RD, SUITE 215, BOCA RATON, FL 33434-4071
(561) 414-1650

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0005116
FL

Other

Enumeration date
02/01/2008
Last updated
02/01/2008
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