Andrea Buonanno
Individual provider Active NPI Speech-Language Pathologist · Gunter, TX
NPI 1437877461 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1437877461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 104554 (TX)
- Practice address
- 213 N Preston Rd
Gunter, TX 75058-4721 - Phone
- (903) 696-0015
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 104554 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 104554 | TX | Yes |
Addresses
Primary practice location
213 N Preston Rd
Gunter, TX 75058-4721
Mailing address
100 W Pecan St
Gunter, TX 75058-2577
Phone (903) 696-0015
Other practice location 1
800 Essex Dr
Prosper, TX 75078-8450
Phone (903) 696-0015
Other providers in Gunter, TX
- Alexandria Elizabeth Akins
- Approved in Home Care LLC
- Angela Marie Boring
- Camri Lynn Breeding
- Ronald Edwin Brown
- Christian Care Centers, Inc
- Climb Health and Wellness, LLC
- Danielle Denise Friday
- Susan Lejane Gellinger
- Jacquelyn Ward Gibson
All providers in Gunter, 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 Aug 16, 2022. 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.