Organization
EDWARD GUYTON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PAUL GUYTON L.C.S.W. (OWNER)
(757) 286-0264
Entity
Organization
Contact information
Practice address
425 W 20TH ST, SUITE 5, NORFOLK, VA 23517-2128
(757) 286-0264
(757) 440-5655
Mailing address
1341 SURREY CRES, NORFOLK, VA 23508-1130
(757) 286-0264
(757) 440-5655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904006140
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVC6260281
MEDICARE PTAN
VA
Enumeration date
07/22/2016
Last updated
07/22/2016
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