Doctor Name: | MRS. DENISSE VIVIANN GONZALEZ |
NPI Number: | 1033347901 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP |
License Number: | SA 9993 |
Business Practice Address: | 14055 Town Loop Blvd Ste 300 Orlando, FL - 328376106 |
Business Phone Number: | 4078576285 |
Business Fax Number: | 4078579566 |
Mailing Address: | 3181 Aqua Virgo Loop, ORLANDO |
State: | FL |
Postal Code: | 328374029 |
Phone Number: | 4073191871 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 9993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |