| Doctor Name: | DR. AMBER D. GUZMAN |
| NPI Number: | 1093115933 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | LP 2243 |
| Business Practice Address: | 4101 S 4th St Leavenworth, KS - 660485014 |
| Business Phone Number: | 9136822000 |
| Business Fax Number: | 9139461561 |
| Mailing Address: | 637 Mcdonald Rd, LEAVENWORTH |
| State: | KS |
| Postal Code: | 660484801 |
| Phone Number: | 9136835457 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP 2243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |