| 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 |