LaTasha Gardner's National Provider Identifier (NPI) Details
LaTasha Gardner, LPC
NPI: 1235584095
Enumeration Date: 2016-04-29
Last updated: 2016-04-29
Sole Proprietor: NO
Status: active
Postal Address: 70 CRANBERRY LN, CHESHIRE, CT
Phone: 203-630-2488
Primary Practice Address: 816 BROAD ST, SUITE 23, MERIDEN, CT
Practice's phone: 203-630-2499