Doctor Name: | MRS. HEATHER L GONZALEZ |
NPI Number: | 1205114733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.L.P. |
License Number: | 106336 |
Business Practice Address: | 2715 W Trenton Rd Edinburg, TX - 785393433 |
Business Phone Number: | 9566831155 |
Business Fax Number: | 9566831188 |
Mailing Address: | 2715 W Trenton Rd, EDINBURG |
State: | TX |
Postal Code: | 785393433 |
Phone Number: | 9566831155 |
Fax Number: | 9566831188 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 03/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 106336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |