Provider Demographics
NPI:1679098594
Name:GARCIA, ALEJANDRINA (SCHOOL PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:ALEJANDRINA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 ROAD 3100
Mailing Address - Street 2:
Mailing Address - City:AZTEC
Mailing Address - State:NM
Mailing Address - Zip Code:87410-9529
Mailing Address - Country:US
Mailing Address - Phone:505-330-8489
Mailing Address - Fax:
Practice Address - Street 1:1400A E 20TH ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-9024
Practice Address - Country:US
Practice Address - Phone:505-599-8617
Practice Address - Fax:505-599-8810
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM374983103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool