Most Relevant Information
Provider Data
| NPI Number: | 1003459900 |
| Provider Name: | SHANNA GUETTA SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 13779 |
Most Important Dates
| Enumeration Date: | 10/23/2019 |
| Last Updated: | 10/23/2019 |
Provider Practice Location
1385 CEDAR ST
SAN CARLOS
CA
940704755
Practice Location Phone/Fax
| Phone: | 6502835547 |
| Fax: |
Provider Mailing Location
1385 CEDAR ST
SAN CARLOS
CA
940704755
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |