Doctor Name: | MICHELLE RENEE GATES |
NPI Number: | 1629305693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 105459 |
Business Practice Address: | 6140 Highway 6 # 90 Missouri City, TX - 774593802 |
Business Phone Number: | 2814035437 |
Business Fax Number: | 8888762741 |
Mailing Address: | 3424 Fm 1092 Rd, Suite 200 MISSOURI CITY |
State: | TX |
Postal Code: | 774592285 |
Phone Number: | 2814035437 |
Fax Number: | 8888762741 |
NPI Enumeration Date: | 11/11/2009 |
NPI Last Update Date: | 11/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105459 |
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 |