Provider Demographics
NPI:1558523654
Name:GUZMAN, DINORA (MA)
Entity Type:Individual
Prefix:DR
First Name:DINORA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:DR
Other - First Name:DINORA
Other - Middle Name:
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:9650 ZELZAH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2003
Mailing Address - Country:US
Mailing Address - Phone:818-739-5599
Mailing Address - Fax:818-993-9311
Practice Address - Street 1:9650 ZELZAH AVE.
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325
Practice Address - Country:US
Practice Address - Phone:818-739-5599
Practice Address - Fax:818-993-9311
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 25429103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical