Doctor Name: | DR. RICHARD A GUILD |
NPI Number: | 1063436855 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED. D |
License Number: | 2246 |
Business Practice Address: | 323 Godwin Ave Midland Park, NJ - 074321501 |
Business Phone Number: | 2016520571 |
Business Fax Number: | 2016529748 |
Mailing Address: | 323 Godwin Ave, MIDLAND PARK |
State: | NJ |
Postal Code: | 074321501 |
Phone Number: | 2016520571 |
Fax Number: | 2016529748 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 2246 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |