Provider Demographics
NPI:1043644586
Name:GUARINO, NATALIA M (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NATALIA
Middle Name:M
Last Name:GUARINO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 ANSEL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-0128
Mailing Address - Country:US
Mailing Address - Phone:407-432-2866
Mailing Address - Fax:
Practice Address - Street 1:3301 ANSEL
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-0128
Practice Address - Country:US
Practice Address - Phone:407-432-2866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-01
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12316235Z00000X
CASP21507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009572400Medicaid