| Doctor Name: | SALLY GUY |
| NPI Number: | 1073668190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | 161055 |
| Business Practice Address: | 170 Morton St Jamaica Plain, MA - 021303735 |
| Business Phone Number: | 6179713733 |
| Business Fax Number: | 6179713853 |
| Mailing Address: | 1079 Beacon St Apt 6, BROOKLINE |
| State: | MA |
| Postal Code: | 024465639 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 161055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |