DR. MARY JANET GUERDET (NPI# 1114072030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114072030 |
| Entity Type | Individual |
| Full Name | DR. MARY JANET GUERDET |
| Credential | PHD |
| Practice Address |
105 Main Street East Tawas MI 48730-1305 |
| Mailing Address |
105 Main Street East Tawas MI 48730 |
| Practice Telephone | 9893623961 |
| Mailing Telephone | 9893623961 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301005976 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 680C54500 | 01 |
| Street Address |
105 MAIN STREET |
| City | EAST TAWAS |
| State | MI |
| Zip Code | 48730-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790775 | Sarah Jan Feinauer | Behavior Technician | 421 Evans St, East Tawas, MI 48730 | 2018-11-27 |
| 1154863678 | Dustin Lee Bayn | Technician, Other | 304 West Bay St, East Tawas, MI 48730 | 2016-11-15 |
| 1205227188 | Michelle St. Aubin | Speech-Language Pathologist | 1691 E Us 23 Ste 4, East Tawas, MI 48730 | 2015-02-12 |
| 1871751354 | John Rodney Lixey | Chiropractor | 310 W Bay St, East Tawas, MI 48730 | 2008-05-30 |
| 1447387709 | Dianne B Webb | Psychologist | 1200 Tawas Beach Rd, East Tawas, MI 48730 | 2007-02-27 |
| 1215029350 | Daniel C Smith | Optometrist | 1691 N Us 23, Suite 2, E Tawas, MI 48730 | 2006-09-28 |
| 1023022936 | Jcs Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1704 East Huron Road, East Tawas, MI 48730 | 2006-07-28 |
| 1477520377 | S. Fountain's Inc | Pharmacy | 133 Newman St, East Tawas, MI 48730 | 2006-03-01 |
| 1124019674 | Richard Paul Payea | Family Medicine | 1195 Tawas Beach Rd, East Tawas, MI 48730 | 2005-11-03 |
| 1477543346 | Duane D Harrison | Allergy & Immunology | 1691 E. Us 23, Suite 5, East Tawas, MI 48730 | 2005-10-24 |
| Find all providers in zip 48730 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831296 | Reema S. Beri, Phd, LLC | Psychologist | 49410 Waterstone Estates Cir, Northville, MI 48168-4900 | 2020-11-05 |
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST TAWAS |
| Zip Code | 48730 |
Please comment or provide details below to improve the information on DR. MARY JANET GUERDET.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.