Basic Information
Provider Information
NPI: 1346350311
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUYOT
FirstName: ANNE
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3100 WEST END AVE.
Address2: SUITE 800
City: NASHVILLE
State: TN
PostalCode: 37203
CountryCode: US
TelephoneNumber: 6153455400
FaxNumber: 8884686603
Practice Location
Address1: 1859 MARIE CIRCLE
Address2:  
City: BLOOMFIELD TOWNSHIP
State: MI
PostalCode: 48302
CountryCode: US
TelephoneNumber: 8006387564
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/30/2006
LastUpdateDate: 09/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X48069WIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X1134MNN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X36202IAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X4301052669MIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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