Provider Demographics
NPI:1760911739
Name:MCGUINNESS, DAVID PATRICK
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PATRICK
Last Name:MCGUINNESS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 ALVARADO RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1548
Mailing Address - Country:US
Mailing Address - Phone:1510-540-7045
Mailing Address - Fax:510-540-7050
Practice Address - Street 1:490 B STREET
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541
Practice Address - Country:US
Practice Address - Phone:510-318-6112
Practice Address - Fax:510-569-4589
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor