Provider Demographics
NPI:1356503825
Name:GUTHRIE, JAMES COLEMAN JR (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:COLEMAN
Last Name:GUTHRIE
Suffix:JR
Gender:M
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 LOS PALOS DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3916
Mailing Address - Country:US
Mailing Address - Phone:831-422-8798
Mailing Address - Fax:831-422-0153
Practice Address - Street 1:2 UPPER RAGSDALE DR
Practice Address - Street 2:STE B-270
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5736
Practice Address - Country:US
Practice Address - Phone:831-657-0377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU2548OtherSTATE LICENSE #
CAAX184ZMedicare PIN