Healthcare Provider Details

I. General information

NPI: 1437238557
Provider Name (Legal Business Name): ANA SOLEDAD GUIMOYE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 KERNER BLVD
SAN RAFAEL CA
94901-4840
US

IV. Provider business mailing address

44 MURRAY AVE
LARKSPUR CA
94939-1004
US

V. Phone/Fax

Practice location:
  • Phone: 415-473-5071
  • Fax: 415-473-3080
Mailing address:
  • Phone: 415-846-7726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: