MEDICARE: PATRICIA GUIDO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT-15918	AZ

General Provider Information

NPI Number	:	1346945458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA GUIDO LMFT

Provider Business Mailing Address
First Line	:	PO BOX 31374
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85751-1374
Country	:	US
Telephone Number	:	520-400-0114
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 E SPEEDWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1220
Country	:	US
Telephone Number	:	520-400-0114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2023
Last Update Date	:	04/17/2023

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