Healthcare Provider Details

I. General information

NPI: 1194781567
Provider Name (Legal Business Name): LAWRENCE KEVIN GUESS M.S., CCC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 SAN JACINTO BLVD #2
DENTON TX
76205-7527
US

IV. Provider business mailing address

3105 COLORADO BLVD STE 101
DENTON TX
76210-6894
US

V. Phone/Fax

Practice location:
  • Phone: 940-898-8569
  • Fax:
Mailing address:
  • Phone: 940-898-8569
  • Fax: 940-898-7444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number50689
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number50689
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number50689
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number50689
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: