Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Theodore Gardner, PHD

Individual provider Clinical Psychologist · NPI 1851649461

Dr. Theodore Gardner, PHD is a Clinical Psychologist in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

401 Gooding St N Ste 105
Twin Falls, ID 83301-6177
Phone: (208) 320-7525
Fax: (208) 904-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-202709 (ID)

Record details

NPI number1851649461
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESAugust 17, 2017
Mailing addressPo Box 231396, Montgomery, AL 36123-1396

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