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NPI Code Detail

MEDICARE: GARLAND PSYCHOLOGICAL CENTER

MEDICARE: GARLAND PSYCHOLOGICAL CENTER
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
1103T00000XPsychologistPSY21667TXTX

General Provider Information

NPI Number : 1629288832
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARLAND PSYCHOLOGICAL CENTER
Provider Business Mailing Address
First Line : 2301 FOREST LN
Second Line : SUITE 400
City : GARLAND
State : TX
Zip : 75042-7954
Country : US
Telephone Number : 972-272-1633
Fax Number :
Provider Business Practice Location Address
First Line : 14637 PEBBLE BEND DR
Second Line :
City : HOUSTON
State : TX
Zip : 77068-2922
Country : US
Telephone Number : 832-484-8400
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RON ZIEGLER
Credential : PH.D.
Telephone Number : 972-272-1633
Provider Enumeration Date : 05/23/2007
Last Update Date : 08/22/2020

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Directions to “GARLAND PSYCHOLOGICAL CENTER ” Practice Location

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