MEDICARE: MRS. JOSEFINA PEREZ GUZMAN M.S.,CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	11251	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194937813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOSEFINA PEREZ GUZMAN M.S.,CCC-SLP

Provider Business Mailing Address
First Line	:	709 S RAUL LONGORIA RD
Second Line	:	SUITE G
City	:	EDINBURG
State	:	TX
Zip	:	78542-5238
Country	:	US
Telephone Number	:	956-381-4545
Fax Number	:	956-381-4541

Provider Business Practice Location Address
First Line	:	709 S RAUL LONGORIA RD
Second Line	:	SUITE G
City	:	EDINBURG
State	:	TX
Zip	:	78542-5238
Country	:	US
Telephone Number	:	956-381-4545
Fax Number	:	956-381-4541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	10/25/2011

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Directions to “ MRS. JOSEFINA PEREZ GUZMAN M.S.,CCC-SLP” Practice Location

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