Provider Demographics
NPI:1295931525
Name:GARCY, PAMELA D (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:D
Last Name:GARCY
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 1:5519 ARAPAHO RD
Mailing Address - Street 2:SUITE #108
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-3479
Mailing Address - Country:US
Mailing Address - Phone:972-248-3861
Mailing Address - Fax:972-934-1633
Practice Address - Street 1:5519 ARAPAHO RD
Practice Address - Street 2:SUITE #108
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-3479
Practice Address - Country:US
Practice Address - Phone:972-248-3861
Practice Address - Fax:972-934-1633
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25360103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U19PMedicare UPIN