Individual
DEANDRA GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431-435 18TH AVENUE, NEWARK, NJ 07108
(908) 674-6506
Mailing address
431-435 18TH AVENUE, NEWARK, NJ 07108
(908) 674-6506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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