Individual
DR. MARK GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2620 CENTENARY BLVD, BLDG. #3, SUITE 207, SHREVEPORT, LA 71104-3356
(318) 676-7650
Mailing address
2620 CENTENARY BLVD, BLDG. #3, SUITE 207, SHREVEPORT, LA 71104-3356
(318) 676-7650
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1098
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098
LIC TO PRACTICE PSYCHOLOGY
LA
Enumeration date
04/04/2014
Last updated
04/04/2014
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