MEDICARE: DR. PAMELA D GARCY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	25360	TX

General Provider Information

NPI Number	:	1295931525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA D GARCY PH.D.

Provider Business Mailing Address
First Line	:	5519 ARAPAHO RD
Second Line	:	SUITE #108
City	:	DALLAS
State	:	TX
Zip	:	75248-3479
Country	:	US
Telephone Number	:	972-248-3861
Fax Number	:	972-934-1633

Provider Business Practice Location Address
First Line	:	5519 ARAPAHO RD
Second Line	:	SUITE #108
City	:	DALLAS
State	:	TX
Zip	:	75248-3479
Country	:	US
Telephone Number	:	972-248-3861
Fax Number	:	972-934-1633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2007
Last Update Date	:	07/08/2007

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