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NPI Code Detail

MEDICARE: STEFANIE GUZMAN CCC-SLP

MEDICARE: STEFANIE GUZMAN 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1881363471
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE GUZMAN CCC-SLP
Provider Business Mailing Address
First Line : 15418 MEADOW PASS
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-2413
Country : US
Telephone Number : 936-332-6226
Fax Number :
Provider Business Practice Location Address
First Line : 2817 KENT ST
Second Line :
City : BRYAN
State : TX
Zip : 77802-5214
Country : US
Telephone Number : 979-776-7521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2021
Last Update Date : 09/08/2021

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Directions to “ STEFANIE GUZMAN CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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