Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | P000593 | RI |
NPI | 1104024066 |
---|---|
Provider Name | Dr. Joseph J Guido |
First Address | Providence, RI 02918-0001 |
Second Address | Providence, RI 02918-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 08/07/2007 |