Provider Demographics
NPI:1316571730
Name:GUIER, SAMUEL CRAWFORD
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:CRAWFORD
Last Name:GUIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 S VIRGINIA ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-3579
Mailing Address - Country:US
Mailing Address - Phone:270-885-2106
Mailing Address - Fax:
Practice Address - Street 1:1102 S VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-3579
Practice Address - Country:US
Practice Address - Phone:270-885-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2539911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical