Individual
SANDRA GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
18109 PRINCE PHILIP DR STE 155, OLNEY, MD 20832-1591
(301) 260-3280
Mailing address
18109 PRINCE PHILIP DR, OLNEY, MD 20832-1519
(301) 260-3280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09822
DEPARTMENT OF HEALTH
MD
05
—
427019300
—
MD
Enumeration date
10/15/2020
Last updated
02/10/2024
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