Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1114252947 |
---|---|
Provider Name | Dr. Mercedes C. Garcia |
First Address | Miami, FL 33185-5877 |
Second Address | Miami, FL 33186-7463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2009 |
Last Update Date | 10/08/2021 |