Healthcare Provider Details

I. General information

NPI: 1033375621
Provider Name (Legal Business Name): ELIZABETH ANN GARCIA-REA PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2008
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S WOODS MILL RD STE 150
TOWN AND COUNTRY MO
63017-9528
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 888-356-1865
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2008007976
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: