Provider Demographics
NPI:1992544423
Name:GUZINSKI, NICOLE EVELYN (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:EVELYN
Last Name:GUZINSKI
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHAD MICHAEL CT
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:MA
Mailing Address - Zip Code:01504-1231
Mailing Address - Country:US
Mailing Address - Phone:508-282-7271
Mailing Address - Fax:
Practice Address - Street 1:315 NEW RIVER RD BLDG 1
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:RI
Practice Address - Zip Code:02838-1826
Practice Address - Country:US
Practice Address - Phone:508-282-7271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00626-P235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist