Provider Demographics
NPI:1568790780
Name:GUINN, JAMES LOUIS (MA, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LOUIS
Last Name:GUINN
Suffix:
Gender:M
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 1:269 STATE ROUTE 32 S
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3921
Mailing Address - Country:US
Mailing Address - Phone:845-633-8333
Mailing Address - Fax:
Practice Address - Street 1:269 STATE ROUTE 32 S
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-3921
Practice Address - Country:US
Practice Address - Phone:845-633-8333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010889-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist