Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 2246 | NJ |
N | 103T00000X | Psychologist | 2246 | NJ |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 2246 | NJ |
N | 103G00000X | Clinical Psychologist | 2246 | NJ |
N | 103TC0700X | Clinical Psychologist | 2246 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 2246 | NJ |
NPI | 1063436855 |
---|---|
Provider Name | Dr. Richard A Guild |
First Address | Midland Park, NJ 07432-1501 |
Second Address | Midland Park, NJ 07432-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |