Doctor Name: | MRS. HEATHER DAWN GUGER |
NPI Number: | 1780820613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SLP005988 |
Business Practice Address: | 8455 Adair St Douglasville, GA - 301341878 |
Business Phone Number: | 6785578803 |
Business Fax Number: | 8666165809 |
Mailing Address: | 3145 N Woods Trl, DOUGLASVILLE |
State: | GA |
Postal Code: | 301351911 |
Phone Number: | 6785578803 |
Fax Number: | 8666165809 |
NPI Enumeration Date: | 12/23/2008 |
NPI Last Update Date: | 12/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |