Provider Demographics
NPI:1356756951
Name:GUYTON, TATIANA
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:GUYTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 ASPEN PEAK LOOP UNIT 524
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-4989
Mailing Address - Country:US
Mailing Address - Phone:702-210-0040
Mailing Address - Fax:
Practice Address - Street 1:833 ASPEN PEAK LOOP UNIT 524
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-4989
Practice Address - Country:US
Practice Address - Phone:702-210-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health