Individual
DR. MICHAEL THOMAS GUILBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5248 CEDAR LN, COLUMBIA, MD 21044-1286
(301) 908-9907
Mailing address
5248 CEDAR LN, COLUMBIA, MD 21044-1286
(301) 908-9907
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
04859
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12296312
CAQH
—
Enumeration date
12/01/2011
Last updated
12/01/2011
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