Provider Demographics
NPI:1962588749
Name:RICE GUGLIOTTA, SHARILYN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SHARILYN
Middle Name:
Last Name:RICE GUGLIOTTA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 SUNBONNET RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-3488
Mailing Address - Country:US
Mailing Address - Phone:678-455-0265
Mailing Address - Fax:678-455-0265
Practice Address - Street 1:3595 CANTON RD
Practice Address - Street 2:SUITE A9, #321
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2658
Practice Address - Country:US
Practice Address - Phone:770-517-6357
Practice Address - Fax:678-827-0927
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 6301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist