Provider Demographics
NPI:1912635657
Name:GUINTHER, JULIE LYN (SLP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYN
Last Name:GUINTHER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 COUNTY ROAD 4651
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78009-5533
Mailing Address - Country:US
Mailing Address - Phone:830-931-2243
Mailing Address - Fax:
Practice Address - Street 1:1000 MADRID ST
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-3810
Practice Address - Country:US
Practice Address - Phone:830-931-2243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18483235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX18483OtherLICENSE SPEECH LANGUAGE PATHOLOGIST