Keeba Gardner

Individual provider Active NPI Clinical Psychologist · Dover, DE

NPI 1932056801 · NPPES record last updated Mar 11, 2026

Key facts

NPI
1932056801
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
07681 (MD)
Practice address
1111B S Governors Ave Ste 26881
Dover, DE 19904-6903
Phone
(240) 454-5538
NPI assigned
Mar 11, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 07681 MD Yes

Addresses

Primary practice location

1111B S Governors Ave Ste 26881
Dover, DE 19904-6903

Mailing address

703 Washington Ave
Towson, MD 21204-3927
Phone (240) 454-5538

Other providers in Dover, DE

All providers in Dover, DE · Clinical Psychologist in Delaware

Sources for this page

Verify at the official NPI Registry.