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Individual

DR. TEENA DENISE GUENTHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10 MEADOW ST, WILLIAMSTOWN, MA 01267-3243
(413) 281-2580
(413) 499-4060
Mailing address
PO BOX 1800, LANESBORO, MA 01237-1800
(413) 281-2580
(413) 499-4060

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3654
NC
103G00000X
Clinical Neuropsychologist
7665
MA
103TC0700X
Clinical Psychologist
014535
NY
103TC0700X
Clinical Psychologist
Primary
3654
NC
103TC0700X
Clinical Psychologist
7665
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110032138A
MA
01
32059
HEATH NEW ENGLAND
MA
01
W06535
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/28/2006
Last updated
06/18/2009
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