Provider Demographics
NPI:1083167480
Name:GUIRGUIS, DEENA
Entity type:Individual
Prefix:
First Name:DEENA
Middle Name:
Last Name:GUIRGUIS
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 1:3217 WISCONSIN AVE NW APT 2A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3817
Mailing Address - Country:US
Mailing Address - Phone:240-423-8368
Mailing Address - Fax:
Practice Address - Street 1:3217 WISCONSIN AVE NW APT 2A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3817
Practice Address - Country:US
Practice Address - Phone:240-423-8368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG500808631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical