NPI | 1376718403 |
---|---|
Other Name | COLLEEN MEDEARIS MCGUIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 49982) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102207948) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2023-06-14 |