Organization
GARDNER SOLAR PSYCHOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEORA JOSEPHA GARDNER-SCHAUDER PH.D (OWNER)
(561) 414-1650
Entity
Organization
Contact information
Practice address
1499 W PALMETTO PARK RD, STE 172, BOCA RATON, FL 33486-3328
(561) 414-1650
(561) 423-7961
Mailing address
222 YAMATO RD, STE 106-333, BOCA RATON, FL 33431-4704
(561) 414-1650
(561) 423-7961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5116
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY5116
FL
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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