Basic Information
| Provider Information | |||||||||
| NPI: | 1003407057 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2620 DAWNLAKE DR | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462177022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059420310 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9531 VALPARAISO CT | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462681130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3173292237 | ||||||||
| FaxNumber: | 3178720914 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2021 | ||||||||
| LastUpdateDate: | 02/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | 20043422A | IN | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |
No ID Information.