Provider Demographics
NPI:1497263412
Name:GARNIER, RAMONA STEPHANIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:STEPHANIE
Last Name:GARNIER
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 1:10679 WESTVIEW PKWY FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2961
Mailing Address - Country:US
Mailing Address - Phone:858-530-2468
Mailing Address - Fax:858-726-6000
Practice Address - Street 1:10679 WESTVIEW PKWY FL 2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2961
Practice Address - Country:US
Practice Address - Phone:858-530-2468
Practice Address - Fax:858-726-6000
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36555101YM0800X
CAMFT36555106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01OtherTRICARE