Organization
ITHERAPY, A SPEECH PATHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GUGGEMOS (CO-FOUNDER/SPEECH-LANGUAGE PATHOLOG)
(707) 656-3688
Entity
Organization
Contact information
Practice address
955 WALNUT AVENUE, VALLEJO, CA 94592
(707) 651-9915
Mailing address
955 WALNUT AVENUE, VALLEJO, CA 94592
(707) 651-9915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
12/28/2021
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