MEDICARE: DR. CARLA FRANCES GARBER PH.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
1	101YM0800X	Mental Health Counselor	09609	TX

General Provider Information

NPI Number	:	1629199575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLA FRANCES GARBER PH.D.

Provider Business Mailing Address
First Line	:	4200 S HULEN ST
Second Line	:	SUITE 318
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4914
Country	:	US
Telephone Number	:	817-732-5290
Fax Number	:	817-732-3258

Provider Business Practice Location Address
First Line	:	4200 S HULEN ST
Second Line	:	SUITE 318
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4914
Country	:	US
Telephone Number	:	817-732-5290
Fax Number	:	817-732-3258

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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