Provider Demographics
NPI:1699968214
Name:GUYETTE, MARIE JEAN (MS, CGC)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:JEAN
Last Name:GUYETTE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 COMPUTER DR
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1771
Mailing Address - Country:US
Mailing Address - Phone:800-255-7357
Mailing Address - Fax:508-389-5549
Practice Address - Street 1:3400 COMPUTER DR
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1771
Practice Address - Country:US
Practice Address - Phone:800-255-7357
Practice Address - Fax:508-389-5549
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS