Michael J Gardner, PHD in Butler, MO - Psychologist

Michael J Gardner, PHD is a Psychologist based in Butler, Missouri. Michael J Gardner is licensed to practice in Missouri (license number 01101) and his current practice location is 805 N Orange St, Butler, Missouri. He can be reached at his office (for appointments etc.) via phone at (888) 403-1071.

NPI number for Michael J Gardner is 1295711109 and his current mailing address is 1800 Community, Clinton, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295711109.

Contact Information

	Michael J Gardner, PHD
	805 N Orange St, Butler, MO 64730
	(888) 403-1071
	Not Available

Healthcare Provider's Profile

Full Name	Michael J Gardner
Gender	Male
Speciality	Psychologist
Location	805 N Orange St, Butler, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1295711109
Provider Enumeration Date: 12/22/2005
Last Update Date: 05/25/2018

Medical Identifiers

Medical identifiers for Michael J Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295711109	NPI	-	NPPES
493346001	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	01101 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael J Gardner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michael J Gardner, PHD 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131	Michael J Gardner, PHD 805 N Orange St, Butler, MO 64730 Ph: (888) 403-1071

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Psychologist in Butler, MO

John Allen Keough, M.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Rr 4 Box 658, Butler, MO 64730
Phone: 660-679-4421 Fax: 660-679-4421

Michael J Gardner, PHD - Psychologist in Butler, MO