Provider Demographics
NPI:1750450094
Name:GUYER, CATHY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:L
Last Name:GUYER
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 1:4851-4855 W. HILLSBORO BLVD. B-1
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3473
Mailing Address - Country:US
Mailing Address - Phone:954-977-4871
Mailing Address - Fax:954-977-4871
Practice Address - Street 1:4851-4855 W. HILLSBORO BLVD. B-1
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3473
Practice Address - Country:US
Practice Address - Phone:954-977-4871
Practice Address - Fax:954-977-4871
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6948103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL74266AMedicare PIN