Provider Demographics
NPI:1295035129
Name:GUTH, ROBERT L (SPEECH & LANGUAGE SP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:GUTH
Suffix:
Gender:M
Credentials:SPEECH & LANGUAGE SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 440
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-0440
Mailing Address - Country:US
Mailing Address - Phone:636-584-0157
Mailing Address - Fax:
Practice Address - Street 1:2 E SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1840
Practice Address - Country:US
Practice Address - Phone:636-584-0157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist