Provider Demographics
NPI:1285965129
Name:GUILIANI, JANICE MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:MARIE
Last Name:GUILIANI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 676
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0676
Mailing Address - Country:US
Mailing Address - Phone:787-202-0014
Mailing Address - Fax:
Practice Address - Street 1:CALLE 25 DE JULIO # 60
Practice Address - Street 2:ESQUINA TENIENTE ALVARADO CON CESARI
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3604
Practice Address - Country:US
Practice Address - Phone:787-202-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3558103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist