Doctor Name: | MRS. SANDRA GUZMAN |
NPI Number: | 1912343013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSED |
License Number: | |
Business Practice Address: | 311 18th St Rock Island, IL - 612018715 |
Business Phone Number: | 3097885000 |
Business Fax Number: | 3097887882 |
Mailing Address: | 311 18th St, ROCK ISLAND |
State: | IL |
Postal Code: | 612018715 |
Phone Number: | 3097885000 |
Fax Number: | 3097887882 |
NPI Enumeration Date: | 05/15/2013 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |