Individual
BRIANA GUPTILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6550 LONETREE BLVD, ROCKLIN, CA 95765-5874
(916) 778-4550
Mailing address
10850 BASIE WAY, RANCHO CORDOVA, CA 95670-7328
(209) 712-9526
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST22325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22325
CA SLP BOARD
CA
Enumeration date
07/12/2016
Last updated
04/12/2024
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