Provider Demographics
NPI:1033367347
Name:JOAN W GARNER PSY D PC
Entity Type:Organization
Organization Name:JOAN W GARNER PSY D PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:972-241-0673
Mailing Address - Street 1:PO BOX 835808
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-5808
Mailing Address - Country:US
Mailing Address - Phone:972-680-1577
Mailing Address - Fax:972-690-9834
Practice Address - Street 1:2995 LBJ FWY
Practice Address - Street 2:SUITE 126
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7611
Practice Address - Country:US
Practice Address - Phone:972-241-0673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-29
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22114103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty