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Individual

DR. RISA ANN GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3314 HENDERSON BLVD, SUITE 100, TAMPA, FL 33609-2998
(813) 877-5400
(813) 877-0661
Mailing address
3314 HENDERSON BLVD, SUITE 100, TAMPA, FL 33609-2998
(813) 877-5400
(813) 877-0661

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4383
FL

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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