Individual
PHYLLIS GUTHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
407 CENTRAL AVE, REISTERSTOWN, MD 21136-1854
(410) 517-5408
Mailing address
407 CENTRAL AVE, REISTERSTOWN, MD 21136-1854
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06176
MD
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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