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Contact Information

ABIGAIL GUEVARA PHD PC
16 N MONCOE
ROCKFORD, MI49341
 Phone: 616-866-4830
 Fax: 616-866-4944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ABIGAIL GUEVARA PHD PC

NPI Number 1053421818
LBN Legal business name ABIGAIL GUEVARA PHD PC
Authorized official ABIGAIL HANSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 06/21/2016 - About 10 years ago
Identifiers
MI License # 6301011335
Other 680DI15940 BCBS
Other 11277623 CAQH
Other 7000023702 PRIORITY HEALTH
Other 239038 UBH
Other 162677 VALUE OPTIONS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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