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Individual
MATTHEW GUGGEMOS
Active
Individual
MATTHEW GUGGEMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP/ACAS
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083215792
ITHERAPY, A SPEECH PATHOLOGY CORPORATION
CA
01
—
ACAS208417
ADVANCED CERTIFIED AUTISM SPECIALIST
—
Enumeration date
03/11/2013
Last updated
01/04/2021
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