Basic Information
Provider Information
NPI: 1497471080
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUCE
FirstName: DARYL MAY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2700 S VEITCH ST APT 408
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222063064
CountryCode: US
TelephoneNumber: 5626069663
FaxNumber:  
Practice Location
Address1: 4656 LIINGSTON RD SE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20032
CountryCode: US
TelephoneNumber: 2025190982
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/14/2022
LastUpdateDate: 10/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X  Y Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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