Provider Demographics
NPI:1215179361
Name:GUADALUPE-LABOY, JOANN (MA)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:
Last Name:GUADALUPE-LABOY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JOANN
Other - Middle Name:
Other - Last Name:GUADALUPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:5108 LEGACY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-2070
Mailing Address - Country:US
Mailing Address - Phone:321-287-7321
Mailing Address - Fax:
Practice Address - Street 1:5108 LEGACY OAKS DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-2070
Practice Address - Country:US
Practice Address - Phone:321-287-7321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health