Provider Demographics
NPI:1104430222
Name:GUYTON, KELSEY ANNALYN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:ANNALYN
Last Name:GUYTON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:KELSEY
Other - Middle Name:ANNALYN
Other - Last Name:BOMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 SAINT CLAIR AVE SW STE 14
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5057
Mailing Address - Country:US
Mailing Address - Phone:256-533-3314
Mailing Address - Fax:256-533-3384
Practice Address - Street 1:600 SAINT CLAIR AVE SW STE 14
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5057
Practice Address - Country:US
Practice Address - Phone:256-533-3314
Practice Address - Fax:256-533-3384
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4277235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist