WILLIAM TRAVIS GARDNER


Address: 4436 Robertson Rd, Fort Worth, TX 76135-9438
Phone: 8172336398

WILLIAM TRAVIS GARDNER (NPI# 1255848750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255848750
Entity Type Individual
Full Name WILLIAM TRAVIS GARDNER
Credential M.S.
Practice Address 4436 Robertson Rd
Fort Worth
TX 76135-9438
Practice Telephone 8172336398
Mailing Telephone 8172336398
Enumeration Date 2018-01-05
Last Update Date 2018-01-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 36916 TX Behavioral Health & Social Service Providers

Other Providers WILLIAM GARDNER

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1942534201 William Henry Gardner Psychologist 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 2009-09-18
1194986570 William Gardner Psychologist 842 California St, San Francisco, CA 94108-2315 2008-06-19
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Office Location

Street Address 4436 ROBERTSON RD
City FORT WORTH
State TX
Zip Code 76135-9438

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992283501 Sung Ryel Choi Dentist 6014 Azle Ave # 100, Lake Worth, TX 76135 2018-08-06
1750882056 Kandess Klein Licensed Vocational Nurse 8825 Claiborn St, Lakeside, TX 76135 2018-02-22
1841791258 Robyn Rich Technician 5104 Prestwick Drive, Fort Worth, TX 76135 2018-02-22
1598207821 Young Men's Christian Association of Metropolitan Fort Worth Health Educator 5315 Boat Club Rd, Fort Worth, TX 76135 2016-11-17
1558818534 Clearfork Academy Lp Substance Abuse Rehabilitation Facility 7820 Hanger Cut Off, Fort Worth, TX 76135 2016-09-07
1316300999 National Vision, Inc. Technician/Technologist 6014 Azle Ave, Ste 200, Lake Worth, TX 76135 2016-04-01
1457647570 Cynthia Rosaline Witt Optometrist 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 2011-06-27
1316134125 Home Town Dental,pa Dentist 6332 Lake Worth, Lake Worth, TN 76135 2007-09-26
1790984789 Jonathan Nicholas Valamides Optometrist 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 2007-07-11
1457570053 Dawn Denise Ezelle Occupational Therapy Assistant 3400 Marine Drive, Fort Worth, TX 76135 2007-04-24
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1306481205 Luma Psychology Pllc Psychologist 2201 Dottie Lynn Pkwy Ste 127, Fort Worth, TX 76120-4435 2019-11-14
1710484985 Jordana Elyse Mortimer Psychologist 1208 W Magnolia Ave Ste 234, Fort Worth, TX 76104-8801 2018-04-12
1760895130 Mark Schmidt Psychologist 6308 Ferncreek Ln, Fort Worth, TX 76179-4701 2014-06-03
1891113676 Lisa Hensley Psychologist 4415 Morris Ct, Fort Worth, TX 76103-3226 2014-03-31
1265781454 Elizabeth O Oriola-otenaike Psychologist 6620 Trinity Heights Blvd, Fort Worth, TX 76132-3578 2012-09-03
1780950436 Carol Lacey Richardson Psychologist 4316 Lake Stone Trl, Fort Worth, TX 76123-8009 2012-03-27
1477834133 Larry Wayne Carter II Psychologist 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 2011-09-07
1639358385 Beatrix Wagner Psychologist 6300 John Ryan Dr, Fort Worth, TX 76132-4122 2007-10-30
1427250083 Stephen Jay Karten Psychologist 6707 Brentwood Stair Rd Ste 218, Fort Worth, TX 76112-3324 2007-06-04
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Competitor

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City FORT WORTH
Zip Code 76135

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Dataset Information

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.

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