Individual
MRS. RACHEL ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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