Paul Edward Guastadisegni in Portland - Clinical Neuropsychologist

Paul Edward Guastadisegni - NPI 1356460901

Paul Edward Guastadisegni is a Clinical Neuropsychologist in Portland, Oregon. Paul Edward Guastadisegni practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Paul Edward Guastadisegni is 1356460901. The last update date is 2007-07-08.

Paul Edward Guastadisegni's current location address is 511 Sw 10th Ave, Portland, Oregon. You can contact this provider via phone number 5032237766 and fax number 5032238844. The mailing address for Paul Edward Guastadisegni is 511 Sw 10th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Edward Guastadisegni
Address 511 Sw 10th Ave, Portland, Oregon
Phone Number 5032237766
Fax Number 5032238844
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1356460901
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 511 Sw 10th Ave
City Portland
State Oregon (OR)
Post Code 972052732
Phone Number 5032237766
Fax Number 5032238844

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 1307
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M39331 OR OREGON VENDOR NUMBER
159027 OR --

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FAQs about Paul Edward Guastadisegni

What is the unique 10-digit identification code assigned to Paul Edward Guastadisegni by the Centers for Medicare & Medicaid Services?

The Paul Edward Guastadisegni has been issued the NPI (National Provider Identifier) 1356460901, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Paul Edward Guastadisegni is physically located?

The Paul Edward Guastadisegni is situated at the following address: 511 Sw 10Th Ave, Portland, OR 972052732.

What is the area of specialization for Paul Edward Guastadisegni, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Paul Edward Guastadisegni is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.

On what date did the Paul Edward Guastadisegni receive the assignment of its 1356460901 from the Centers for Medicare & Medicaid Services?

The Paul Edward Guastadisegni was issued its 1356460901 by the Centers for Medicare & Medicaid Services on 2007-03-28.

When was the information regarding Paul Edward Guastadisegni most recently updated?

The details pertaining to the Paul Edward Guastadisegni, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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