Provider Demographics
NPI:1922369164
Name:GUERRERO, ERICA NICOLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:NICOLE
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:106 E AMADA ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:HEBBRONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78361-3620
Mailing Address - Country:US
Mailing Address - Phone:361-527-4555
Mailing Address - Fax:361-527-4556
Practice Address - Street 1:106 E AMADA ST
Practice Address - Street 2:SUITE #2
Practice Address - City:HEBBRONVILLE
Practice Address - State:TX
Practice Address - Zip Code:78361-3620
Practice Address - Country:US
Practice Address - Phone:361-527-4555
Practice Address - Fax:361-527-4556
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist