Provider Demographics
NPI:1235026444
Name:ERATO GARZA, GINA (PHD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:
Last Name:ERATO GARZA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WASHBURN AVE
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-2812
Mailing Address - Country:US
Mailing Address - Phone:414-659-2312
Mailing Address - Fax:
Practice Address - Street 1:25 ARNOLD ST UNIT 1
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-1001
Practice Address - Country:US
Practice Address - Phone:401-203-4108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist