Individual
MARCIO GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
99 WAYLAND AVE, PROVIDENCE, RI 02906-4314
(401) 331-4250
Mailing address
99 WAYLAND AVE, PROVIDENCE, RI 02906-4314
(401) 331-4250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00933
RI
103TC0700X
Clinical Psychologist
2010016109
MO
Other
Enumeration date
08/01/2011
Last updated
09/03/2020
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