Healthcare Provider Details

I. General information

NPI: 1770849432
Provider Name (Legal Business Name): MICHELLE GARCIA PSYD & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29818 SUNWILLOW CREEK DR
SPRING TX
77386-2848
US

IV. Provider business mailing address

PO BOX 8915
THE WOODLANDS TX
77387-8915
US

V. Phone/Fax

Practice location:
  • Phone: 713-397-3104
  • Fax: 832-415-2627
Mailing address:
  • Phone: 713-397-3104
  • Fax: 832-415-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number33318
License Number StateTX

VIII. Authorized Official

Name: MICHELLE A GARCIA
Title or Position: OWNER/PSYCHOLOGIST
Credential: PSY.D.
Phone: 713-397-3104