Provider Demographics
NPI:1972831667
Name:DENNIS MCGUIRE, PH.D., P.C
Entity type:Organization
Organization Name:DENNIS MCGUIRE, PH.D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:979-299-1590
Mailing Address - Street 1:115 N DIXIE DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5903
Mailing Address - Country:US
Mailing Address - Phone:979-299-1590
Mailing Address - Fax:
Practice Address - Street 1:115 N DIXIE DR
Practice Address - Street 2:SUITE 250
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5903
Practice Address - Country:US
Practice Address - Phone:979-299-1590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty