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NPI Code Detail

MEDICARE: KATELYN MICHELLE GUERRERA

MEDICARE: KATELYN MICHELLE GUERRERA
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 Pathologist29358CA
2235Z00000XSpeech-Language Pathologist025805NY
3235Z00000XSpeech-Language Pathologist77420MA

General Provider Information

NPI Number : 1013535293
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN MICHELLE GUERRERA
Provider Business Mailing Address
First Line : 655 S WILLOW ST STE 128
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-5723
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-1585
Country : US
Telephone Number : 413-650-1354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2020
Last Update Date : 12/03/2020

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Directions to “ KATELYN MICHELLE GUERRERA ” 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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