Provider Demographics
NPI:1316697188
Name:GUZMAN, CATHRYN (SPEECH THERAPIST)
Entity type:Individual
Prefix:
First Name:CATHRYN
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:SPEECH THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-4023
Mailing Address - Country:US
Mailing Address - Phone:307-756-9200
Mailing Address - Fax:888-715-6736
Practice Address - Street 1:902 E 3RD ST
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-4023
Practice Address - Country:US
Practice Address - Phone:307-756-9200
Practice Address - Fax:888-715-6736
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYSP-1097235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist