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Individual

DR. JOEANNE GUTZWILLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2810 MACK RD, FAIRFIELD, OH 45014-5130
(513) 874-4530
(513) 346-3811
Mailing address
2810 MACK RD, FAIRFIELD, OH 45014-5130
(513) 874-4530
(513) 346-3811

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6063
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000357578
ANTHEM ID#
OH
01
1219634
CHA HEALTH ID#
OH
01
350905
MHN ID#
OH
Enumeration date
02/20/2006
Last updated
07/09/2007
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