| Edward Guyton, Lcsw | |
|
425 W 20th St Suite 5 Norfolk VA 23517-2128 | |
| (757) 286-0264 | |
| (757) 440-5655 |
| Full Name | Edward Guyton, Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 W 20th St, Norfolk, Virginia |
| Authorized Official Name and Position | Edward Paul Guyton (OWNER) |
| Authorized Official Contact | 7572860264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Guyton, Lcsw 1341 Surrey Cres Norfolk VA 23508-1130 Ph: (757) 286-0264 | Edward Guyton, Lcsw 425 W 20th St Suite 5 Norfolk VA 23517-2128 Ph: (757) 286-0264 |
| NPI Number | 1467805671 |
|---|---|
| Provider Enumeration Date | 07/22/2016 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467805671 | NPI | - | NPPES |
| VVC6260281 | Other | VA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0904006140 (Virginia) | Primary |
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