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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. EUNICE GRACE GARDNER, PH.D.

Active

Adult Development & Aging Psychologist · POCATELLO, ID

Registration Details

NPI Number
1003128265
Provider Type
Individual
Gender
Female
NPI Issued
Jul 5, 2010 (15.839794163487 yrs)
Last Updated
Oct 24, 2011

Practice Information

Address
777 HOSPITAL WAY
POCATELLO, ID, 832015175
Browse ID providers · Browse ZIP 83201
Phone
2082391710
Primary Specialty
Adult Development & Aging Psychologist
103TA0700X
Additional Specialty
Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.