Provider Demographics
NPI:1740727460
Name:GUZMAN DE PEREZ, MARIANA (IMH)
Entity type:Individual
Prefix:MRS
First Name:MARIANA
Middle Name:
Last Name:GUZMAN DE PEREZ
Suffix:
Gender:F
Credentials:IMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 W PALM AIRE DR
Mailing Address - Street 2:APT 101A
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-4197
Mailing Address - Country:US
Mailing Address - Phone:954-592-3579
Mailing Address - Fax:
Practice Address - Street 1:1639 FORUM PLACE, SUITE 7
Practice Address - Street 2:MULTILINGUAL PSYHCHOTHERAPY CENTERS, INC.
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-712-8821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15210101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health