Julianne Guida

Individual provider Active NPI Clinical Psychologist · Kentfield, CA

NPI 1114400900 · NPPES record last updated Oct 17, 2024

Key facts

NPI
1114400900
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PSY34708 (CA)
Practice address
802 College Ave Ste 202
Kentfield, CA 94904-2564
Phone
(310) 593-1830
NPI assigned
Sep 8, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PSY34708CAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY34708 CA Yes

Addresses

Primary practice location

802 College Ave Ste 202
Kentfield, CA 94904-2564

Mailing address

802 College Ave Ste 202
Kentfield, CA 94904-2564
Phone (310) 593-1830

Other providers in Kentfield, CA

All providers in Kentfield, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.