Provider Demographics
NPI:1679727861
Name:GUYTON, DAVID A (MS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:GUYTON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 N 4TH ST STE 121
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2369
Mailing Address - Country:US
Mailing Address - Phone:414-265-5087
Mailing Address - Fax:414-265-4140
Practice Address - Street 1:2821 N 4TH ST STE 121
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2369
Practice Address - Country:US
Practice Address - Phone:414-265-5087
Practice Address - Fax:414-265-4140
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)