Provider Demographics
NPI:1710173612
Name:GARGA, SARIKA (PHD)
Entity Type:Individual
Prefix:
First Name:SARIKA
Middle Name:
Last Name:GARGA
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 1:6600 PARVILLE LOOP
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4436
Mailing Address - Country:US
Mailing Address - Phone:703-842-7930
Mailing Address - Fax:
Practice Address - Street 1:6600 PARVILLE LOOP
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4436
Practice Address - Country:US
Practice Address - Phone:703-842-7930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000419103T00000X
VA0810003835103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical