Provider Demographics
NPI:1528475514
Name:FRANCIS GUENTHER
Entity type:Organization
Organization Name:FRANCIS GUENTHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:GUENTHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-334-4092
Mailing Address - Street 1:425 MECHLIN CORNER RD
Mailing Address - Street 2:
Mailing Address - City:PITTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08867-5015
Mailing Address - Country:US
Mailing Address - Phone:908-334-4092
Mailing Address - Fax:908-996-2052
Practice Address - Street 1:425 MECHLIN CORNER RD
Practice Address - Street 2:
Practice Address - City:PITTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08867-5015
Practice Address - Country:US
Practice Address - Phone:908-334-4092
Practice Address - Fax:908-996-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004437-L310500000X
NJ3473315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness