| Doctor Name: | MS. SUSAN KAY GARDNER |
| NPI Number: | 1275781809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ASW |
| License Number: | 29509 |
| Business Practice Address: | 3434 Grove St Lemon Grove, CA - 919451812 |
| Business Phone Number: | 6192813714 |
| Business Fax Number: | |
| Mailing Address: | 3434 Grove St, LEMON GROVE |
| State: | CA |
| Postal Code: | 919451812 |
| Phone Number: | 6192813714 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2008 |
| NPI Last Update Date: | 12/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 29509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |