| Doctor Name: | GUADALUPE HERRERA |
| NPI Number: | 1053620369 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP-A |
| License Number: | 34633 |
| Business Practice Address: | 231 Se Barrington Dr Suite 203 Oak Harbor, WA - 982773200 |
| Business Phone Number: | 3602400022 |
| Business Fax Number: | 3602400023 |
| Mailing Address: | 231 Se Barrington Dr, Suite 203 OAK HARBOR |
| State: | WA |
| Postal Code: | 982773200 |
| Phone Number: | 3602400022 |
| Fax Number: | 3602400023 |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 34633 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |