| Doctor Name: | MS. PATRICIA LEON GUERRERO TAIMANGLO |
| NPI Number: | 1003000761 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY705 |
| Business Practice Address: | 590 S Marine Corps Drive Suite 219 Gitc Bldg Tamuning, GU - 96913 |
| Business Phone Number: | 6716492080 |
| Business Fax Number: | 6716492083 |
| Mailing Address: | 590 S Marine Corps Drive, Suite 219 Gitc Bldg TAMUNING |
| State: | GU |
| Postal Code: | 96914 |
| Phone Number: | 6716492080 |
| Fax Number: | 6716492082 |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 09/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY705 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |