Dr. MYRA GUECO BERNECKER Ph.D.

1036 SIR FRANCIS DRAKE BLVD STE 204, KENTFIELD, CA, 949041440

atlas:atm_npi_1003033267

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status: A
address: 1036 SIR FRANCIS DRAKE BLVD STE 204, KENTFIELD, CA, 949041440
npi: 1003033267
license: PSY21427
taxonomy: Psychologist, Clinical
other names: ["MARIA GUECO"]
last updated: 2020-07-29
license state: CA
taxonomy code: 103TC0700X
all taxonomies: ["Psychologist, Clinical"]
sole proprietor: YES
enumeration date: 2007-04-19
enumeration type: NPI-1
practice locations: 1

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{
  "npi": "1003033267",
  "status": "A",
  "address": "1036 SIR FRANCIS DRAKE BLVD STE 204, KENTFIELD, CA, 949041440",
  "license": "PSY21427",
  "taxonomy": "Psychologist, Clinical",
  "other_names": [
    "MARIA GUECO"
  ],
  "last_updated": "2020-07-29",
  "license_state": "CA",
  "taxonomy_code": "103TC0700X",
  "all_taxonomies": [
    "Psychologist, Clinical"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2007-04-19",
  "enumeration_type": "NPI-1",
  "practice_locations": 1
}