Doctor Name: | MAKIKO GUJI |
NPI Number: | 1003959891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PY00003684 |
Business Practice Address: | 3819 100th St Sw Suite 7-c Lakewood, WA - 984994470 |
Business Phone Number: | 2535887911 |
Business Fax Number: | 2539846774 |
Mailing Address: | 7191 Wagner Way, Suite 301 GIG HARBOR |
State: | WA |
Postal Code: | 983358330 |
Phone Number: | 2535148068 |
Fax Number: | 2535148078 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 04/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY00003684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |