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Eric J. Gardner, PSYD
Clinical Psychologist in Gallup, New Mexico
NPI 1861688269

Eric J. Gardner is a Clinical Psychologist based in Gallup, NM and is specialized in Clinical. Eric J. Gardner practices in Gallup, NM and has the professional credentials of PSYD. The NPI Number for Eric J. Gardner is 1861688269 and holds a License No. PSY24300 (New Mexico).

The current practice location address for Eric J. Gardner is 516 East Nizhoni Blvd., Gallup, NM and can be reached out via phone at 505-722-1000 and via fax at 505-722-1396.

Location: 516 East Nizhoni Blvd., Gallup, NM, 87305-1337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861688269
Provider Name
Eric J. Gardner
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
516 East Nizhoni Blvd., Gallup, NM, 87305-1337
Phone Number
505-722-1000
Fax Number
505-722-1396
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSB33057 01 CA PSYCH. ASSISTANT NUMBER
institution
Provider Business Practice Location Address Details
Address
516 East Nizhoni Blvd.
City
Gallup
State
New Mexico
Zip
87301-1337
Phone Number
505-722-1000
Fax Number
505-722-1396
person
Provider Business Mailing Address Details
Address
516 East Nizhoni Blvd.
City
Gallup
State
New Mexico
Zip
87301-1337
Phone Number
505-722-1000
Fax Number
505-722-1396
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
24300 (California)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSB33057 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PSY24300 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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