| Garcia Clinical Psychology, Llc | |
|
1060 E 100 S Suite 100 Salt Lake City UT 84102-1501 | |
| (801) 410-0888 | |
| Not Available |
| Full Name | Garcia Clinical Psychology, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1060 E 100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Ryan Garcia (OWNER) |
| Authorized Official Contact | 8014100888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garcia Clinical Psychology, Llc 1060 E 100 S Suite 100 Salt Lake City UT 84102-1501 Ph: (801) 410-0888 | Garcia Clinical Psychology, Llc 1060 E 100 S Suite 100 Salt Lake City UT 84102-1501 Ph: (801) 410-0888 |
| NPI Number | 1164853651 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164853651 | NPI | - | NPPES |
| 000073660 | Other | UT | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2013-03569 (Utah) | Primary |
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