Individual
PAUL JOHN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
5672 OSLO LANE, PAUL GARDNER, PARK CITY, UT 84098
(435) 575-7777
(435) 575-7777
Mailing address
5672 OSLO LANE, PAUL GARDNER, PARK CITY, UT 84098
(435) 575-7777
(435) 575-7777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
57610183902
UT
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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