| Doctor Name: | MS. LAURIE DIANE MCGUIRE |
| NPI Number: | 1003112780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH PATHOLOGIST |
| License Number: | SP #5427 |
| Business Practice Address: | Kaiser Permanente Medical Group 3975 Old Redwood Hwy. Mob 5 - Outpatient Rehab Santa Rosa, CA - 95403 |
| Business Phone Number: | 7075665844 |
| Business Fax Number: | |
| Mailing Address: | 1406 Cedar St, CALISTOGA |
| State: | CA |
| Postal Code: | 945151610 |
| Phone Number: | 7073268841 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2011 |
| NPI Last Update Date: | 01/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP #5427 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |