Provider Demographics
NPI:1851543839
Name:GUERRERO, JAMES S (PSY D)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10498 FOUNTAIN LAKE DR APT 1128
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3766
Mailing Address - Country:US
Mailing Address - Phone:281-685-4587
Mailing Address - Fax:281-302-5571
Practice Address - Street 1:4434 BLUEBONNET DR # 116
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2904
Practice Address - Country:US
Practice Address - Phone:281-685-4587
Practice Address - Fax:281-302-5571
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33789103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist