Provider Demographics
NPI:1720576515
Name:GUZMAN, CYNTHIA SELENA (MSW)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:SELENA
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 E 24TH ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-2114
Mailing Address - Country:US
Mailing Address - Phone:862-397-9059
Mailing Address - Fax:
Practice Address - Street 1:1241 N TANEY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-4660
Practice Address - Country:US
Practice Address - Phone:215-278-2390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker