Provider Demographics
NPI:1245801240
Name:GUERICA, JENI CAROLINE FRICK (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JENI
Middle Name:CAROLINE FRICK
Last Name:GUERICA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:JENI
Other - Middle Name:CAROLINE
Other - Last Name:FRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2135 SHADOWBROOK DR W
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2969
Mailing Address - Country:US
Mailing Address - Phone:225-937-7275
Mailing Address - Fax:
Practice Address - Street 1:4703 BLUEBONNET BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-9635
Practice Address - Country:US
Practice Address - Phone:225-291-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist