Healthcare Provider Details

I. General information

NPI: 1093645905
Provider Name (Legal Business Name): STEFANIE ANNE GARCIA LPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 13TH ST
MERCED CA
95341-6211
US

IV. Provider business mailing address

381 W HAWKEYE AVE APT N7
TURLOCK CA
95380-1744
US

V. Phone/Fax

Practice location:
  • Phone: 209-385-7311
  • Fax:
Mailing address:
  • Phone: 209-559-0514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number43202
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: