Provider Demographics
NPI:1891933198
Name:GUTHMILLER, LYDIA KAY
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:KAY
Last Name:GUTHMILLER
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 1:810 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-2140
Mailing Address - Country:US
Mailing Address - Phone:605-645-2420
Mailing Address - Fax:
Practice Address - Street 1:810 STATE ST
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783-2140
Practice Address - Country:US
Practice Address - Phone:605-645-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist