Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 20043422A | IN |
Y | 103TC0700X | Clinical Psychologist | 20043422A | IN |
NPI | 1003407057 |
---|---|
Provider Name | Dr. Patricia Garcia |
First Address | Indianapolis, IN 46217-7022 |
Second Address | Indianapolis, IN 46268-1130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2021 |
Last Update Date | 02/02/2021 |