Michelle Deleone-Thomas Guttenplan, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Warm Springs, GA

NPI 1205112802 · NPPES record last updated Nov 6, 2019

Key facts

NPI
1205112802
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
9064857-4102 (UT)
Practice address
6135 Roosevelt Hwy
Warm Springs, GA 31830-1000
Phone
(706) 655-5432
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PCET001697GAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PCET001697 GA
Speech-Language Pathologist 235Z00000X 9064857-4102 UT Yes

Addresses

Primary practice location

6135 Roosevelt Hwy
Warm Springs, GA 31830-1000

Mailing address

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Other names

  • Michelle Deleone Thomas Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address michelle.guttenplan@imail.org

Other providers in Warm Springs, GA

All providers in Warm Springs, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.