Provider Demographics
NPI:1659585487
Name:GUFFEY, ELIZABETH WHITAKER (MA, FAAA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:WHITAKER
Last Name:GUFFEY
Suffix:
Gender:F
Credentials:MA, FAAA
Other - Prefix:MISS
Other - First Name:TRESA
Other - Middle Name:ELIZABETH
Other - Last Name:WHITAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 GUFFEY DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-9677
Mailing Address - Country:US
Mailing Address - Phone:704-434-6482
Mailing Address - Fax:704-487-5230
Practice Address - Street 1:1180 WYKE RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4259
Practice Address - Country:US
Practice Address - Phone:704-487-9100
Practice Address - Fax:704-487-5230
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6772237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter