Provider Demographics
NPI:1134246275
Name:FRANCO, GUILLERMO (PSYD)
Entity type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:
Last Name:FRANCO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:BILLY
Other - Middle Name:
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8432
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91327-8432
Mailing Address - Country:US
Mailing Address - Phone:818-275-2230
Mailing Address - Fax:
Practice Address - Street 1:11145 TAMPA AVE STE 24A
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2251
Practice Address - Country:US
Practice Address - Phone:916-691-0346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24613103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical