MS. PATRICIA LEON GUERRERO TAIMANGLO PHD NPI 1003000761

Psychologist (Clinical) in Tamuning, GU

About PATRICIA TAIMANGLO

Patricia Taimanglo is a provider in Tamuning, GU. The NPI number assigned to this provider is 1003000761. The practitioner's primary taxonomy code is Psychologist (103TC0700X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI	1003000761 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	MS. PATRICIA LEON GUERRERO TAIMANGLO PHD
Provider Location Address	590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96913 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96914 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	Yes
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-05-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-05-2007 Last update date The date that a record was last updated or changed.

Business Address

MS. PATRICIA LEON GUERRERO TAIMANGLO PHD
590 S MARINE CORPS DRIVE
SUITE 219 GITC BLDG
TAMUNING, GU
ZIP 96913
Phone: (671) 649-2080
Fax: (671) 649-2083

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Mailing Address

MS. PATRICIA LEON GUERRERO TAIMANGLO PHD
590 S MARINE CORPS DRIVE
SUITE 219 GITC BLDG
TAMUNING, GU
ZIP 96914
Phone: (671) 649-2080
Fax: (671) 649-2082

Primary Taxonomy

Taxonomy Code	103TC0700X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Psychologist
Type	Behavioral Health & Social Service Providers
Specialization	Clinical
License No.	CP000022
License State	GU

Secondary Taxonomies

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No.	Taxonomy Code	Type	Classification	Specialization	License No.	State	Primary
1	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	PSY705	HI	No
1

Other Providers at the same location

The following 4 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1497815211	DR. LUIS GOLEZ ARGUELLES M.D. Individual	General Practice	590 S MARINE CORPS DRIVE SUITE 126 GITC BUILDING TAMUNING, GU 96913 (617) 646-6354
1639289499	JOEL MARC C RUBIO MD Individual	Internal Medicine	590 S MARINE CORPS DRIVE ITC BUILDING SUITE 226 TAMUNING, GU 96913 (671) 646-5228
1780804146	HEALTH PARTNERS, L.L.C. Organization		590 S MARINE CORPS DRIVE ITC BLDG., SUITE 226 TAMUNING, GU 96913 (671) 646-5228
1801080569	MRS. ROSEMARIE BELL CAMACHO MA Individual	Marriage & Family Therapist	590 S MARINE CORPS DRIVE SUITE 219 GITC BLDG TAMUNING, GU 96913 (671) 649-2081

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