Individual
DR. LEONARD G. GUITAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
154 MAIN ST, OLD SAYBROOK, CT 06475-2373
(860) 358-3923
(860) 510-0628
Mailing address
13 PARK SIDE DR, LYME, CT 06371-3429
(860) 434-0377
(860) 434-0434
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001434
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4118049
—
CT
Enumeration date
01/06/2007
Last updated
06/12/2013
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