Healthcare Provider Details

I. General information

NPI: 1316511249
Provider Name (Legal Business Name): HANNAH I. GUZ PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2021
Last Update Date: 05/15/2021
Certification Date: 05/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CENTRAL PARK S APT 5B
NEW YORK NY
10019-1451
US

IV. Provider business mailing address

240 CENTRAL PARK S APT 5B
NEW YORK NY
10019-1451
US

V. Phone/Fax

Practice location:
  • Phone: 917-436-0848
  • Fax:
Mailing address:
  • Phone: 917-436-0848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number024120
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number024120
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number024120
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number024120
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: