Provider Demographics
NPI:1952840258
Name:GUERIERA, ALISON BETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:BETH
Last Name:GUERIERA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 LEGACY DR
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:NC
Mailing Address - Zip Code:27235-9437
Mailing Address - Country:US
Mailing Address - Phone:336-870-2047
Mailing Address - Fax:
Practice Address - Street 1:4909 LEGACY DR
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:NC
Practice Address - Zip Code:27235-9437
Practice Address - Country:US
Practice Address - Phone:336-870-2047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA09147395235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist