Provider Demographics
NPI:1477674745
Name:GUARINO, PATRICIA ELAINE (LPA)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ELAINE
Last Name:GUARINO
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:EMERALD ISLE
Mailing Address - State:NC
Mailing Address - Zip Code:28594-2924
Mailing Address - Country:US
Mailing Address - Phone:252-354-7167
Mailing Address - Fax:
Practice Address - Street 1:113 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-2924
Practice Address - Country:US
Practice Address - Phone:252-354-7167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC820103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical