Provider Demographics
NPI:1700944766
Name:GUZI, BETH ANN (MS CCC-SLP, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:GUZI
Suffix:
Gender:F
Credentials:MS CCC-SLP, LPC
Other - Prefix:MRS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:GURYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:201 S AGATE DR
Mailing Address - Street 2:
Mailing Address - City:SALMON
Mailing Address - State:ID
Mailing Address - Zip Code:83467-5217
Mailing Address - Country:US
Mailing Address - Phone:208-373-1721
Mailing Address - Fax:
Practice Address - Street 1:1301 MAIN ST STE 3B
Practice Address - Street 2:
Practice Address - City:SALMON
Practice Address - State:ID
Practice Address - Zip Code:83467-4452
Practice Address - Country:US
Practice Address - Phone:208-756-2927
Practice Address - Fax:208-756-1518
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSLP-1247235Z00000X
ID4520101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist