Doctor Name: | ELSA GONZALEZ |
NPI Number: | 1366769176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ 5728 |
Business Practice Address: | 16969 Nw 67th Ave Ste 206 Hialeah, FL - 330154294 |
Business Phone Number: | 3053644331 |
Business Fax Number: | |
Mailing Address: | 13335 Sw 104th Ter, MIAMI |
State: | FL |
Postal Code: | 331863405 |
Phone Number: | 3053828068 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2010 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ 5728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |