Provider Demographics
NPI:1558529859
Name:GUARTON, GLADYS BRANLY (PHD)
Entity Type:Individual
Prefix:DR
First Name:GLADYS
Middle Name:BRANLY
Last Name:GUARTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ROBBINS LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1211
Mailing Address - Country:US
Mailing Address - Phone:516-466-1639
Mailing Address - Fax:516-773-4695
Practice Address - Street 1:22 ROBBINS LN
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11020-1211
Practice Address - Country:US
Practice Address - Phone:516-466-1639
Practice Address - Fax:516-773-4695
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8395103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYVL3331OtherPROVIDER NUMBER