Doctor Name: | MR. DAVID GONZALEZ |
NPI Number: | 1861881583 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., CCC-SLP, TSSLD |
License Number: | 024078-1 |
Business Practice Address: | 11 Patricia Ct Middle Island, NY - 119531417 |
Business Phone Number: | 5163696691 |
Business Fax Number: | |
Mailing Address: | 5161 Village Cir E, MANORVILLE |
State: | NY |
Postal Code: | 119499566 |
Phone Number: | 5163696691 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2015 |
NPI Last Update Date: | 01/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 024078-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |