Provider Demographics
NPI:1316166010
Name:GARCIA, JOSEPH LOUIS (SLP)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LOUIS
Last Name:GARCIA
Suffix:
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1252
Mailing Address - Country:US
Mailing Address - Phone:717-816-8249
Mailing Address - Fax:
Practice Address - Street 1:6596 ORPHANAGE ROAD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:PA
Practice Address - Zip Code:17247
Practice Address - Country:US
Practice Address - Phone:717-762-7178
Practice Address - Fax:717-762-7178
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007549235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist