| NPI | 1417106261 |
|---|---|
| Former Name | LAZARO GARCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY3472) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY3472) |
| 103TF0200X Psychologist, Forensic (Licence: FL PY3472) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 007961-1) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL PY3472) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |