MRS. DORA G GUTIERREZ SLPA AA NPI 1245577360

NPI Information

NPI: 1245577360
Provider Name: MRS. DORA G GUTIERREZ, SLPA, AA
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
1100 W. CLARK RD BOX 829
CONNELL, WA
ZIP 99326
Phone: (509) 234-9218
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MRS. Dora G Gutierrez, SLPA, AA is a speech-language assistant specialist technologist in Connell, WA. MRS. Dora G Gutierrez, SLPA, AA NPI is 1245577360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 W. CLARK RD BOX 829
CONNELL, WA
ZIP 99326-829
Phone: (509) 234-9218
Fax: (509) 234-9204

The enumeration date for this NPI number is 1/9/2013 and was last updated on 1/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	SP 6021648	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SLPA SP60219648	OTHER	WASHINGTON	SPEECH LANGUAGE PATHOLOGY ASSISTANT CERTIFACATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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