| Doctor Name: | DR. LEONARD G. GUITAR |
| NPI Number: | 1164570339 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 001434 |
| Business Practice Address: | 154 Main St Old Saybrook, CT - 064752373 |
| Business Phone Number: | 8603583923 |
| Business Fax Number: | 8605100628 |
| Mailing Address: | 13 Park Side Dr, LYME |
| State: | CT |
| Postal Code: | 063713429 |
| Phone Number: | 8604340377 |
| Fax Number: | 8604340434 |
| NPI Enumeration Date: | 01/06/2007 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 001434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |