Individual
NATALIA GUAQUETA-TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A./CCC-SLP
Contact information
Practice address
62 KIMBERLY DR, ROCKPORT, ME 04856-4210
(530) 321-3310
Mailing address
62 KIMBERLY DR, ROCKPORT, ME 04856-4210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2578
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP2578
—
ME
Enumeration date
12/07/2016
Last updated
12/07/2016
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