Provider Demographics
NPI:1417217241
Name:PROFESSIONAL PSYCHOLOGICAL SOLUTIONS
Entity Type:Organization
Organization Name:PROFESSIONAL PSYCHOLOGICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-323-5037
Mailing Address - Street 1:2821 W PARKER RD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7950
Mailing Address - Country:US
Mailing Address - Phone:469-323-5037
Mailing Address - Fax:214-785-7493
Practice Address - Street 1:2821 W PARKER RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7950
Practice Address - Country:US
Practice Address - Phone:469-323-5037
Practice Address - Fax:214-785-7493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-27
Last Update Date:2012-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34124103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty