Provider Demographics
NPI:1174942379
Name:ROBARDS, GLADYS J
Entity type:Individual
Prefix:
First Name:GLADYS
Middle Name:J
Last Name:ROBARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 SESAME ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-6657
Mailing Address - Country:US
Mailing Address - Phone:907-350-7646
Mailing Address - Fax:833-500-7740
Practice Address - Street 1:741 SESAME ST STE 1B
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6657
Practice Address - Country:US
Practice Address - Phone:907-350-7646
Practice Address - Fax:833-500-7740
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health