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General NPI Number Information
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NPI Number | 1578227161
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Entity Type | Organization
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Legal Business Name | JOSE GUERRA, PSYCHOLOGIST PC
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 9010 CORBIN AVE STE 4
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3392
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Country | US
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Telephone | 818-770-6147
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Fax | 213-232-1008
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Provider Business Mailing Address
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Address Line | PO BOX 8011
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City | LA CRESCENTA
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State | CA
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Zip | 91224-0011
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Country | US
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Telephone | 818-770-6147
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Fax | 213-232-1008
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Authorized Official
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Title or Position | OWNER/CLINICAL PSYCHOLOGIST
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Name | DR. JOSE GUERRA
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Credential | PSYD
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Telephone | 818-770-6147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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