NPI 1265321103 · live from the CMS NPI Registry
David Gardner, LMFT-A
Marriage & Family Therapist in Providence, RI. National Provider Identifier 1265321103, active.
NPI record
| NPI | 1265321103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 55 Hope St, Providence, RI 02906 |
| Practice phone | 401-331-1350 |
| Mailing address | 18 Berth Ave, Kingston, RI 02881 |
| Enumerated | July 2, 2025 |
| Last updated | July 2, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | MFT00040-A (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.