Provider Demographics
NPI:1679824007
Name:GUTTMAN, MARLENE LYNDA (MA, CCC)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:LYNDA
Last Name:GUTTMAN
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CHENORA CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-4107
Mailing Address - Country:US
Mailing Address - Phone:513-521-2122
Mailing Address - Fax:
Practice Address - Street 1:326 CHENORA CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-4107
Practice Address - Country:US
Practice Address - Phone:513-521-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 1959235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist