Doctor Name: | KATHERINE ELIZABETH GONZALEZ |
NPI Number: | 1124331244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0132421 |
Business Practice Address: | 2 Kross Keys Dr Albany, NY - 122051466 |
Business Phone Number: | 5184384800 |
Business Fax Number: | |
Mailing Address: | 73 Outlook Dr S, MECHANICVILLE |
State: | NY |
Postal Code: | 121183642 |
Phone Number: | 5185413034 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2010 |
NPI Last Update Date: | 07/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0132421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |