Provider Demographics
NPI:1295090371
Name:GARCIA, DEBBIE MARIE
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:MARIE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S ALBION ST STE 723
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4045
Mailing Address - Country:US
Mailing Address - Phone:303-997-2201
Mailing Address - Fax:303-997-1066
Practice Address - Street 1:1660 S ALBION ST STE 723
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4045
Practice Address - Country:US
Practice Address - Phone:303-997-2201
Practice Address - Fax:303-997-1066
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3692103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical