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General NPI Number Information
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NPI Number | 1770849432
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Entity Type | Organization
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Legal Business Name | MICHELLE GARCIA PSYD & ASSOCIATES
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 29818 SUNWILLOW CREEK DR
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City | SPRING
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State | TX
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Zip | 77386-2848
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Country | US
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Telephone | 713-397-3104
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Fax | 832-415-2627
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Provider Business Mailing Address
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Address Line | PO BOX 8915
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City | THE WOODLANDS
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State | TX
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Zip | 77387-8915
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Country | US
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Telephone | 713-397-3104
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Fax | 832-415-2627
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | MICHELLE A GARCIA
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Credential | PSY.D.
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Telephone | 713-397-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33318
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License Number State | TX
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