David Gardner, LMFT-A

Individual provider Active NPI Marriage & Family Therapist · Providence, RI

NPI 1265321103 · NPPES record last updated Jul 2, 2025

Key facts

NPI
1265321103
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFT00040-A (RI)
Practice address
55 Hope St
Providence, RI 02906-2001
Phone
(401) 331-1350
NPI assigned
Jul 2, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFT00040-ARIMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT00040-A RI Yes

Addresses

Primary practice location

55 Hope St
Providence, RI 02906-2001

Mailing address

18 Berth Ave
Kingston, RI 02881-1204

Other providers in Providence, RI

All providers in Providence, RI · Marriage & Family Therapist in Rhode Island

Sources for this page

Verify at the official NPI Registry.