Provider Demographics
NPI:1548710874
Name:GUYON, ZYRA KATHERINE
Entity type:Individual
Prefix:
First Name:ZYRA
Middle Name:KATHERINE
Last Name:GUYON
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 1:702 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5713
Mailing Address - Country:US
Mailing Address - Phone:970-986-7900
Mailing Address - Fax:
Practice Address - Street 1:702 S 5TH ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5713
Practice Address - Country:US
Practice Address - Phone:970-986-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health