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Organization

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

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEORA JOSEPHA GARDNER PH.D. (PRESIDENT)
(561) 414-1640
Entity
Organization

Contact information

Practice address
8177 GLADES RD, SUITE 215, BOCA RATON, FL 33434-4071
(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
103T00000X
Psychologist
Primary
PY0005116
FL

Other

Enumeration date
09/25/2006
Last updated
09/09/2008
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