Theresa Guillory, M.ED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

896 Issued in OK

Practice address

3027 S New Haven Ave
Tulsa, OK 74114-6131

Phone

(918) 746-6800

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Independent School District Number 1 of Tulsa County, Oklahoma

  • Public Health or Welfare Agency
  • Tulsa, OK
  • NPI 1154313948
  NPD (past)

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1609324649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 S NEW HAVEN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146131",
            "telephone_number": "918-746-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 S NEW HAVEN AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146131",
            "telephone_number": "918-746-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Grace Guglielmo
• Jacqueline Guidry, MD
• April Guillen
• Greta Guillette, PA-C
• Shalea Guillory
• Amy Guinn, LCSW
• Carmen Rochelle Guinn, LMSW
• Vumlamching Guite
• Shannon Renae Gulbranson, D.C.
• Judyth Gulden

• All providers in Tulsa, OK
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.