NPI 1013945229

Lamaurice H Gardner, PSYD

Practitioner Clinical Psychologist Southfield, MI

Practice location

Address: 22250 Providence Dr Suite 207, Southfield, MI 48075-4825
Phone: (313) 576-1000

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6301007265 (MI)

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Registry record

NPI: 1013945229
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2006
Record last updated: 8 Jul 2007

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.