National Provider Identifier
Mallory Ann Guerra, MA, CCC, SLP/L
Mallory Ann Guerra, MA, CCC, SLP/L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Amherst, NY and a listed phone number of (716) 831-8422.
Profile Overview
- NPI
- 1124423371
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 30, 2014
- Last Updated
- October 06, 2022
Practice Location
- 1085 Eggert Road, Chc Learning Center,
- Amherst, NY 14226
Phone: (716) 831-8422
Mailing Address
- 6 Wendtworth Court
- Lancaster, NY 14086
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1124423371
- Entity Type
- Individual
- Last Name
- Guerra
- First Name
- Mallory
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- MA, CCC, SLP/L
- Provider Other Last Name
- Diberardino
- Provider Other First Name
- Mallory
- Provider Other Middle Name
- Ann
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 6 Wendtworth Court
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086
- Mailing Country
- US
- Mailing Phone
- (716) 361-4696
- Practice Street Address
- 1085 Eggert Road, Chc Learning Center,
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226
- Practice Country
- US
- Practice Phone
- (716) 831-8422
- Practice Fax
- (716) 831-8428
- Enumeration Date
- October 30, 2014
- Last Updated
- October 06, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 06, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)