Mallory Ann Guerra, MA, CCC, SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024154-1 Issued in NY

Practice address

1085 Eggert Road, CHC Learning Center,
Amherst, NY 14226

Phone

(716) 831-8422

Fax

(716) 831-8428

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mallory Ann Diberardino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CHC Learning Center

  • School Registered Nurse
  • Amherst, NY
  • NPI 1356777320
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1124423371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WENDTWORTH COURT",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "14086",
            "telephone_number": "716-361-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 EGGERT ROAD, CHC LEARNING CENTER,",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-831-8422",
            "fax_number": "716-831-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "MALLORY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC, SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024154-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "DIBERARDINO",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vincent Guadagna
• Guardian Diagnostics and Laboratory, LLC
• Guardian Pharmacy LLC
• Rebecca C Gubala, FNP-BC
• Brian Michael Gucwa, PHARMD.
• Thomas Guetta
• Frank A Gugino Jr., R.N.
• Lauren Jayne Gugino, PA
• Gulam M Najar MD PC.
• Donna A Gulick, PT

• All providers in Amherst, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.