Provider Demographics
NPI:1669751525
Name:GUERRERO, KARLI RENAE (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KARLI
Middle Name:RENAE
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:KARLI
Other - Middle Name:RENAE
Other - Last Name:RASOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KARLI REEVES
Mailing Address - Street 1:1230 SAXONHILL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6067
Mailing Address - Country:US
Mailing Address - Phone:210-397-3678
Mailing Address - Fax:
Practice Address - Street 1:22211 W IH 10 STE 1206
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1742
Practice Address - Country:US
Practice Address - Phone:210-397-3678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107899235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist