Provider Demographics
NPI:1629288832
Name:GARLAND PSYCHOLOGICAL CENTER
Entity type:Organization
Organization Name:GARLAND PSYCHOLOGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-272-1633
Mailing Address - Street 1:2301 FOREST LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7954
Mailing Address - Country:US
Mailing Address - Phone:972-272-1633
Mailing Address - Fax:
Practice Address - Street 1:14637 PEBBLE BEND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2922
Practice Address - Country:US
Practice Address - Phone:832-484-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPSY21667TX103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty