Healthcare Provider Details

I. General information

NPI: 1386711356
Provider Name (Legal Business Name): JULIE GUY M.M., MT-BC, NMT-F
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 MISSION CENTER CT STE 205
SAN DIEGO CA
92108-1314
US

IV. Provider business mailing address

7840 MISSION CENTER CT STE 205
SAN DIEGO CA
92108-1321
US

V. Phone/Fax

Practice location:
  • Phone: 619-299-1411
  • Fax: 619-692-0644
Mailing address:
  • Phone: 619-299-1411
  • Fax: 619-299-1412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: