Doctor Name: | DR. DAVID L. GUY |
NPI Number: | 1295963031 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.MIN |
License Number: | 1576 |
Business Practice Address: | 10 W Main St Cortez, CO - 813213145 |
Business Phone Number: | 9707599942 |
Business Fax Number: | |
Mailing Address: | 347 Pine Cone Dr, BAYFIELD |
State: | CO |
Postal Code: | 811229256 |
Phone Number: | 9707599942 |
Fax Number: | 9708840736 |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 07/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1576 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |