MEDICARE: ROBERTA L GARMANY M.S., L.P.C.

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	101YP2500X	Professional Counselor	18445	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6775LC	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1992800262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTA L GARMANY M.S., L.P.C.

Provider Business Mailing Address
First Line	:	2309 BOLL STREET
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2600
Country	:	US
Telephone Number	:	469-222-1240
Fax Number	:	972-279-1026

Provider Business Practice Location Address
First Line	:	2309 BOLL STREET
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2600
Country	:	US
Telephone Number	:	469-222-1240
Fax Number	:	972-279-1026

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	10/06/2011

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