DR. MARVIN ALLEN GARDNER JR. (NPI# 1124298278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124298278 |
| Entity Type | Individual |
| Full Name | DR. MARVIN ALLEN GARDNER JR. |
| Credential | PH.D., D. MIN. |
| Practice Address |
2727 Electric Rd Suite 100 Roanoke VA 24018-3547 |
| Practice Telephone | 5407725153 |
| Practice Fax Number | 5407725157 |
| Mailing Telephone | 5407725153 |
| Mailing Fax Number | 5407725157 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810002488 | VA | Behavioral Health & Social Service Providers |
| Street Address |
2727 ELECTRIC RD SUITE 100 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154305464 | Julian Maris Taylor | Counselor | 2727 Electric Rd, Suite 100, Roanoke, VA 24018-3547 | 2005-11-30 |
| 1033382759 | Faith N Sword | Occupational Therapist | 2727 Electric Rd, Suite 104, Roanoke, VA 24018-3547 | 2008-04-03 |
| 1538364328 | Jennifer Jordan Slusher I | Counselor | 2727 Electric Rd, Suite 100, Roanoke, VA 24018-3547 | 2007-06-20 |
| 1376753384 | Elizabeth Yakel | Speech-Language Pathologist | 2727 Electric Rd, Suite 104, Roanoke, VA 24018-3547 | 2007-05-22 |
| 1548479892 | Dorene P. Fick | Social Worker | 2727 Electric Rd, Suite 100, Roanoke, VA 24018-3547 | 2007-05-22 |
| 1295954840 | Gillian Rai | Occupational Therapist | 2727 Electric Rd, Suite 104, Roanoke, VA 24018-3547 | 2007-04-24 |
| 1912034117 | Jennifer J Hill | Speech-Language Pathologist | 2727 Electric Rd, Suite 104, Roanoke, VA 24018-3547 | 2007-02-27 |
| 1023150752 | Carrie R Winterhoff | Occupational Therapist | 2727 Electric Rd, Suite 104, Roanoke, VA 24018-3547 | 2007-02-12 |
| 1740327766 | Cari G Vest | Speech-Language Pathologist | 2727 Electric Rd, Suite 104, Roanoke, VA 24018-3547 | 2007-01-31 |
| 1912043431 | Megan Henderson Harrison | Speech-Language Pathologist | 2727 Electric Rd, Suite 104, Roanoke, VA 24018-3547 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1245624196 | Andrea Miller | Psychologist | 30 Franklin Rd Sw, Suite 602, Roanoke, VA 24011-2423 | 2015-03-27 |
| 1306104005 | Brian L Lewis | Psychologist | 1317 3rd St Sw, Roanoke, VA 24016-5238 | 2012-05-01 |
| 1831376755 | Laura Janet Ely | Psychologist | 1402 Grandin Rd Sw Ste 211, Roanoke, VA 24015-2348 | 2008-01-22 |
| 1598884702 | Wee Leung Lee | Psychologist | 5427 Peters Creek Rd, Suite 100, Roanoke, VA 24019-3858 | 2007-03-28 |
| 1861518037 | Donald Joseph Gieck | Psychologist | 2017 S Jefferson St, Roanoke, VA 24014 | 2007-03-21 |
| 1861570822 | Paul Joseph Woods | Psychologist | 5541 Florist Rd, Roanoke, VA 24012-1233 | 2006-11-01 |
| 1356440184 | Debra A. Marks | Psychologist | 221 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2006-09-21 |
| 1972513893 | Montenique Finney | Psychologist | 4800 Pleasant Hill Dr, Ste 202, Roanoke, VA 24018-3406 | 2006-08-09 |
| 1326090580 | Louis Anthony Perrott | Psychologist | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-05-16 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on DR. MARVIN ALLEN GARDNER JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.