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NPI Code Detail

MEDICARE: MAE-SUE GUERY CCC-SLP

MEDICARE:   MAE-SUE  GUERY  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 Pathologist034186-01NY

General Provider Information

NPI Number : 1952256943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAE-SUE GUERY CCC-SLP
Provider Business Mailing Address
First Line : 297 MACDONOUGH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-1012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 46 COOK ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4004
Country : US
Telephone Number : 718-701-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ MAE-SUE GUERY CCC-SLP” Practice Location

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