Provider Demographics
NPI:1659836765
Name:GUIRGUIS, SANDRA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:GUIRGUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2032 SUDA DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46280-1571
Mailing Address - Country:US
Mailing Address - Phone:317-518-9758
Mailing Address - Fax:
Practice Address - Street 1:COMPOUND EL SAFWA BUILDING 10, SUITE 31
Practice Address - Street 2:
Practice Address - City:DIGLA MAADI
Practice Address - State:CAIRO
Practice Address - Zip Code:EGYPT
Practice Address - Country:EG
Practice Address - Phone:317-518-9758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-02
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist