Provider Demographics
NPI:1891687489
Name:ESCOTO GUZMAN, STEPHANIE (SLPA 2757)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ESCOTO GUZMAN
Suffix:
Gender:F
Credentials:SLPA 2757
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 WINDING CREEK TER
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-1831
Mailing Address - Country:US
Mailing Address - Phone:914-527-1383
Mailing Address - Fax:
Practice Address - Street 1:8660 BRENTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5655
Practice Address - Country:US
Practice Address - Phone:925-626-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27572355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant