Doctor Name: | DR. MEMORIE M GOSA |
NPI Number: | 1265850838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP, BRS-S |
License Number: | 3507 |
Business Practice Address: | 700 University Blvd E Tuscaloosa, AL - 354012028 |
Business Phone Number: | 2053487131 |
Business Fax Number: | 2053481845 |
Mailing Address: | Po Box 870242, TUSCALOOSA |
State: | AL |
Postal Code: | 354870242 |
Phone Number: | 2053487131 |
Fax Number: | 2053481845 |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |