Hayley Michelle Gomez, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fort Worth, TX
NPI 1174093033 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1174093033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 116816 (TX)
- Practice address
- 7201 Hawkins View Dr Ste 151
Fort Worth, TX 76132-3934 - Phone
- (817) 479-7019
- NPI assigned
- Dec 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116816 | TX | MD | Occupational Therapist |
| 08771 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monkey Mouths, PLLC | Speech-Language Pathologist | Past |
Accepting new patients |
| Monkey Ears, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 08771 | MD | |
| Speech-Language Pathologist | 235Z00000X | 116816 | TX | Yes |
Addresses
Primary practice location
7201 Hawkins View Dr Ste 151
Fort Worth, TX 76132-3934
Mailing address
6716 Savannah LN
Fort Worth, TX 76132-3728
Phone (817) 266-8488
Other practice location 1
1305 Dares Beach Rd
Prince Frederick, MD 20678-4208
Phone (410) 286-1358
Other practice location 2
851 4th Ave E
Dickinson, ND 58601-4014
Phone (817) 266-8488
Other names
- Hayley Michelle Jordan
Other providers in Fort Worth, TX
- Daisy Gomez
- David Julian Gomez
- Denisse Gomez
- Emi Gomez
- Erica Michelle Gomez
- Kelly Gomez
- Kirsten A Gomez
- Stephanie Marie Gomez
- Anjaunette Denise Gonder
- Grace K Gongidi
All providers in Fort Worth, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.