Provider Demographics
NPI:1467898429
Name:GUTHRIE, JENNI L (SLP)
Entity Type:Individual
Prefix:
First Name:JENNI
Middle Name:L
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:JENNI
Other - Middle Name:L
Other - Last Name:LINDSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 JEWELL ST
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:NE
Mailing Address - Zip Code:68920-2067
Mailing Address - Country:US
Mailing Address - Phone:308-928-2131
Mailing Address - Fax:
Practice Address - Street 1:515 JEWELL ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:NE
Practice Address - Zip Code:68920-2067
Practice Address - Country:US
Practice Address - Phone:308-928-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE378235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE378OtherSTATE LICENSE