Provider Demographics
NPI:1558926949
Name:GUERRERO, MARIAMA ERIN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIAMA
Middle Name:ERIN
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 S CESAR CHAVEZ RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-4910
Mailing Address - Country:US
Mailing Address - Phone:956-867-7945
Mailing Address - Fax:
Practice Address - Street 1:2219 S CESAR CHAVEZ RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-4910
Practice Address - Country:US
Practice Address - Phone:956-867-7945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112595235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist