Provider Demographics
NPI:1013074319
Name:GUETTER, JOHN R (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:GUETTER
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 1:2023 TOWN SQ N
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-8262
Mailing Address - Country:US
Mailing Address - Phone:717-665-2674
Mailing Address - Fax:717-560-2117
Practice Address - Street 1:2023 TOWN SQ N
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-8262
Practice Address - Country:US
Practice Address - Phone:717-665-2674
Practice Address - Fax:717-560-2117
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008167-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical