| Doctor Name: | MALERIE GUILBEAU |
| NPI Number: | 1528489937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1009 N Birch Ave Sand Springs, OK - 740638901 |
| Business Phone Number: | 5805791301 |
| Business Fax Number: | |
| Mailing Address: | 1009 N Birch Ave, SAND SPRINGS |
| State: | OK |
| Postal Code: | 740638901 |
| Phone Number: | 5805791301 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2014 |
| NPI Last Update Date: | 01/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |