Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN L. GARDNER
Active Sole ProprietorJACQUELYN L. GARDNER is a Clinical Psychologist healthcare provider located in SAN FRANCISCO,, California. NPI 1699172080 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SAN FRANCISCO,, CA
Registration Details
- NPI Number
- 1699172080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2014 (11.68991972946 yrs)
- Last Updated
- Dec 1, 2014
- License
-
PSY7469 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1947 DIVISADERO ST.STE. 2SAN FRANCISCO,, CA, 94115Browse CA providers · Browse ZIP 94115
- Phone
- 4154414350
- Fax
- 4156141760
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.