Provider Demographics
NPI:1194781567
Name:GUESS, LAWRENCE KEVIN (MS, CCC-A)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:KEVIN
Last Name:GUESS
Suffix:
Gender:
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 COLORADO BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6894
Mailing Address - Country:US
Mailing Address - Phone:940-898-8569
Mailing Address - Fax:940-898-7444
Practice Address - Street 1:2210 SAN JACINTO BLVD
Practice Address - Street 2:#2
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7527
Practice Address - Country:US
Practice Address - Phone:940-898-8569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50689231HA2400X, 231HA2500X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX505963169Medicaid