Doctor Name: | MRS. CONNIE MARIE GONZALEZ |
NPI Number: | 1083955397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCCC-SLP |
License Number: | SLP007167 |
Business Practice Address: | 127 Carter St Richmond Hill, GA - 313243753 |
Business Phone Number: | 9127566131 |
Business Fax Number: | |
Mailing Address: | 12 Ballastone Ct, SAVANNAH |
State: | GA |
Postal Code: | 314105129 |
Phone Number: | 3212286785 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |