Provider Demographics
NPI:1396074795
Name:GUTHRIE, O'NEIL W (PHD)
Entity type:Individual
Prefix:DR
First Name:O'NEIL
Middle Name:W
Last Name:GUTHRIE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LOMA LINDA VA HOSPITAL 151
Mailing Address - Street 2:11201 BENTON STREET
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92357-0001
Mailing Address - Country:US
Mailing Address - Phone:909-825-7084
Mailing Address - Fax:909-796-4508
Practice Address - Street 1:LOMA LINDA VA HOSPITAL 151
Practice Address - Street 2:11201 BENTON STREET
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-0001
Practice Address - Country:US
Practice Address - Phone:909-825-7084
Practice Address - Fax:909-796-4508
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist