IndividualActive
Eunice Gardner, PH.D.
NPI 1003128265 · Adult Development & Aging Psychologist · Pocatello, ID
Provider details
- NPI number
- 1003128265
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Practice location
777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1710
Approximate (ZIP-level) locationGet directions
Mailing address
777 Hospital Way
Pocatello, ID 83201-5175
Registry dates
- Enumerated
- 2010-07-05
- Last updated
- 2011-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.