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NPI Code Detail

MEDICARE: KARLENE GACITA PSY.D.

MEDICARE: KARLENE GACITA PSY.D.
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL
2103TC0700XClinical Psychologist39000TX

General Provider Information

NPI Number : 1235552027
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLENE GACITA PSY.D.
Provider Business Mailing Address
First Line : 2237 RIDGE RD STE 101
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-5161
Country : US
Telephone Number : 972-771-3969
Fax Number :
Provider Business Practice Location Address
First Line : 2237 RIDGE RD STE 101
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-5161
Country : US
Telephone Number : 972-771-3969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2014
Last Update Date : 08/04/2021

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