Provider Demographics
NPI:1760198246
Name:GUESS, STEPHENIE RENEE (EDD, MPH, MCHES)
Entity Type:Individual
Prefix:DR
First Name:STEPHENIE
Middle Name:RENEE
Last Name:GUESS
Suffix:
Gender:F
Credentials:EDD, MPH, MCHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CONCORD CT
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-4821
Mailing Address - Country:US
Mailing Address - Phone:860-514-7521
Mailing Address - Fax:
Practice Address - Street 1:31 CONCORD CT
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-4821
Practice Address - Country:US
Practice Address - Phone:860-514-7521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator