| Doctor Name: | VANESSA GAIL GONZALES |
| NPI Number: | 1225207509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 103858 |
| Business Practice Address: | 2011 W Koenig Ln Austin, TX - 787561131 |
| Business Phone Number: | 5124677006 |
| Business Fax Number: | 5124677025 |
| Mailing Address: | 2011 W Koenig Ln, AUSTIN |
| State: | TX |
| Postal Code: | 787561131 |
| Phone Number: | 5124677006 |
| Fax Number: | 5124677025 |
| NPI Enumeration Date: | 02/21/2008 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 103858 |
| 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 |