Doctor Name: | GUEMALI MADERA |
NPI Number: | 1548663842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 8194 |
Business Practice Address: | 100 Cummings Ctr 135h Beverly, MA - 019156115 |
Business Phone Number: | 9789720172 |
Business Fax Number: | |
Mailing Address: | 84 Lawrence St, METHUEN |
State: | MA |
Postal Code: | 018444453 |
Phone Number: | 7162384908 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2014 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |