Provider Demographics
NPI:1477540698
Name:GUGINO, SHAWNA KAY (CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:SHAWNA
Middle Name:KAY
Last Name:GUGINO
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:KAY
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8427 HEIM DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141
Mailing Address - Country:US
Mailing Address - Phone:716-913-6463
Mailing Address - Fax:
Practice Address - Street 1:8427 HEIM DRIVE
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141
Practice Address - Country:US
Practice Address - Phone:716-913-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist