Healthcare Provider Details

I. General information

NPI: 1437693538
Provider Name (Legal Business Name): NATALIA GUAQUETA-TYLER M.A./CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIA GUAQUETA M.A./CCC-SLP

II. Dates (important events)

Enumeration Date: 12/07/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OAK ST
CHICO CA
95928-5046
US

IV. Provider business mailing address

849 RUSH CT
CHICO CA
95926-3143
US

V. Phone/Fax

Practice location:
  • Phone: 530-321-3310
  • Fax:
Mailing address:
  • Phone: 530-321-3310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number19726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: