NPI 1003128265

Eunice Grace Gardner, PHD

Practitioner Adult Development & Aging Psychologist Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201-5175
Phone: (208) 239-1710

Registered specialties (3)

Adult Development & Aging Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TA0700X

Other Psychologist providers in Idaho →

Cognitive & Behavioral Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TB0200X

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Registry record

NPI: 1003128265
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2010
Record last updated: 24 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.