Healthcare Provider Details

I. General information

NPI: 1659261147
Provider Name (Legal Business Name): MRS. DEANNA KATHRYN GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9707 KEY WEST AVE STE 100
ROCKVILLE MD
20850-3992
US

IV. Provider business mailing address

198 HALPINE RD APT 1422
ROCKVILLE MD
20852-7627
US

V. Phone/Fax

Practice location:
  • Phone: 240-973-3434
  • Fax:
Mailing address:
  • Phone: 407-242-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: