Provider Demographics
NPI:1790290880
Name:MARIBEL GARCIA, PSYD
Entity Type:Organization
Organization Name:MARIBEL GARCIA, PSYD
Other - Org Name:GARCIA & ASSOCIATES PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:562-248-9409
Mailing Address - Street 1:115 PINE AVE STE 440
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4465
Mailing Address - Country:US
Mailing Address - Phone:562-248-9409
Mailing Address - Fax:
Practice Address - Street 1:115 PINE AVE STE 440
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4465
Practice Address - Country:US
Practice Address - Phone:562-248-9409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIBEL GARCIA, PSYD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-11
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty