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Individual

DAVID A. GUGGENHEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
230 W 17TH ST, NEW YORK, NY 10011
(212) 271-7200
(212) 937-4893
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
(212) 937-4893

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018840
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05043370
NY
Enumeration date
11/24/2010
Last updated
08/21/2018
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