Individual
KELLY ANN GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 S RURAL RD, TEMPE, AZ 85282-3853
(480) 730-7100
Mailing address
3750 BAYCHESTER AVE, BRONX, NY 10466-5036
(718) 515-6780
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13895
AZ
235Z00000X
Speech-Language Pathologist
034204
NY
Other
Enumeration date
10/24/2022
Last updated
06/12/2024
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