Provider Demographics
NPI:1063648251
Name:GUERRA-ALBIN, NORMA (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:GUERRA-ALBIN
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 S HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6535
Mailing Address - Country:US
Mailing Address - Phone:845-227-8589
Mailing Address - Fax:
Practice Address - Street 1:126 S HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6535
Practice Address - Country:US
Practice Address - Phone:845-227-8589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06553-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist