Provider Demographics
NPI:1932792116
Name:CAFUIR, MARIEFE GUANLAO (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MARIEFE
Middle Name:GUANLAO
Last Name:CAFUIR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 VERDE ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4419
Mailing Address - Country:US
Mailing Address - Phone:757-650-7478
Mailing Address - Fax:
Practice Address - Street 1:4176 S PLAZA TRL STE 217
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1920
Practice Address - Country:US
Practice Address - Phone:757-401-4435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202008244235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist