Jill Gardner, PHD

NPI #1346305091 in Chesterton, Indiana

Provider Information

NPI Number: 1346305091
Entity Type: Individual
Name: Jill Gardner, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Dec 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 215 W INDIANA AVE
City: Chesterton
State: Indiana
ZIP Code: 46304-2457
Phone: (219) 921-0705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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