Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PS-006557-L | PA |
NPI | 1073658746 |
---|---|
Provider Name | Philip Patrick Garman |
First Address | Johnstown, PA 15905-1252 |
Second Address | Johnstown, PA 15901-1628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |