Dr. Leora Gardner, PH.D.,P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0005116 Issued in FL

Legal business name

DR. LEORA GARDNER, PH.D.,P.A.

Practice address

8177 Glades Road
Suite 215
Boca Raton, FL 33434

Phone

(561) 414-1650

NPI assigned

Feb 1, 2008

Organization subpart

Yes

Parent organization

DR. LEORA GARDNER, PH.D.,P.A.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leora J Gardner, PH.D.

Title

President

Phone

(561) 414-1650

Specialties & licenses 1

Addresses

Part of

Dr Leora Gardner Phdpa

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1356529333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344071",
            "telephone_number": "561-414-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8177 GLADES ROAD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-414-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEORA GARDNER, PH.D.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. LEORA GARDNER, PH.D.,P.A.",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LEORA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-414-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.