Provider Demographics
NPI:1710135942
Name:GUERRA, JAMIE J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:J
Last Name:GUERRA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 MARBELLA CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-4400
Mailing Address - Country:US
Mailing Address - Phone:213-321-3756
Mailing Address - Fax:
Practice Address - Street 1:54 MARBELLA CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-4400
Practice Address - Country:US
Practice Address - Phone:213-321-3756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38822103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical