Individual
DR. MALLORY GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
302 WYNNWOOD AVE, RUSTON, LA 71270-2653
(620) 231-9873
Mailing address
302 WYNNWOOD AVE, RUSTON, LA 71270-2653
(318) 729-8090
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
03223
KS
103TC1900X
Counseling Psychologist
Primary
1763
LA
103TC1900X
Counseling Psychologist
PSB94025204
CA
Other
Enumeration date
11/18/2019
Last updated
04/29/2026
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