Provider Demographics
NPI:1063610830
Name:PAGE, CHRISTEN GUFFEY (PHD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:GUFFEY
Last Name:PAGE
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TENNYSON CIR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-2312
Mailing Address - Country:US
Mailing Address - Phone:502-316-2111
Mailing Address - Fax:
Practice Address - Street 1:1138 LEXINGTON RD STE 100
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9673
Practice Address - Country:US
Practice Address - Phone:502-570-3732
Practice Address - Fax:502-570-3735
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY140065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist