Provider Demographics
NPI:1598805442
Name:GUZMAN, CAROLINE MACLAINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MACLAINE
Last Name:GUZMAN
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 POST AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-5735
Mailing Address - Country:US
Mailing Address - Phone:646-453-4333
Mailing Address - Fax:212-939-3399
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:KOUNTZ PAVILLION 5TH FLOOR -
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-3368
Practice Address - Fax:212-939-3399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist