Provider Demographics
NPI:1891832945
Name:GUYETT, IRVIN (PHD)
Entity Type:Individual
Prefix:
First Name:IRVIN
Middle Name:
Last Name:GUYETT
Suffix:
Gender:M
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:PO BOX 2970
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15230-2970
Mailing Address - Country:US
Mailing Address - Phone:412-261-3522
Mailing Address - Fax:
Practice Address - Street 1:BANK TOWER BLDG, SUITE 1100
Practice Address - Street 2:307 FOURTH AVE.
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222
Practice Address - Country:US
Practice Address - Phone:412-261-3522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS001654L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist