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NPI 1184416349

NPI 1184416349 : DR. JAMIE GUERRA, PSYD PLLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1184416349
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. JAMIE GUERRA, PSYD PLLC 
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Dates
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    Enumeration Date     |    05/21/2025
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    Last Update Date     |    05/21/2025
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Provider Practice Location Address
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    Address Line         |    8231 FREDERICKSBURG RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3356
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    Country              |    US
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    Telephone            |    210-429-6829
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8231 FREDERICKSBURG RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3356
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    Country              |    US
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    Telephone            |    213-321-3756
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED PSYCHOLOGIST
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    Name                 |     JAMIE JO GUERRA 
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    Credential           |    PSYD
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    Telephone            |    213-321-3756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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