Doctor Name: | MR. DAVID FREDERICK GARCIA |
NPI Number: | 1053645259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 6301014522 |
Business Practice Address: | 91-1841 Fort Weaver Rd Ewa Beach, HI - 967061909 |
Business Phone Number: | 8086813500 |
Business Fax Number: | |
Mailing Address: | 17452 Gaylord, REDFORD |
State: | MI |
Postal Code: | 482402314 |
Phone Number: | 3132684405 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2009 |
NPI Last Update Date: | 05/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 6301014522 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |