Individual
MRS. JOAN W GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1234 N WINDOMERE AVE, DALLAS, TX 75208-2733
(214) 924-1950
Mailing address
1234 N WINDOMERE AVE, DALLAS, TX 75208-2733
(214) 924-1950
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00SD33
BCBS
TX
05
—
115548302
—
TX
Enumeration date
08/27/2006
Last updated
10/23/2018
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