Myrna Doris Gonzalez, M.A.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005143-1 Issued in NY

Practice address

37 Clarke St Apt 1B
Catskill, NY 12414-1467

Phone

(631) 513-5461

NPI assigned

Feb 14, 2007

Last updated

Dec 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1477696326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLARKE ST APT 1B",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141467",
            "telephone_number": "631-513-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CLARKE ST APT 1B",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141467",
            "telephone_number": "631-513-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MYRNA",
        "middle_name": "DORIS",
        "name_prefix": "Miss",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005143-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teal Annadele Gasbarro, FNP
• Nancy L Getzke, NP
• Kaylee Glastetter
• Golub Corporation (Price Chopper Pharmacy)
• Antonio Gomez Jr., RN
• Necole Renee Good, P.T.
• Diane Lynn Gotebiowski, P.T.
• Matthew P Grassi, RPH
• Green Manor Dialysis Center LLC (Northern Hudson Valley Dialysis Center)
• Greene County Public Health

• Speech-Language Pathologist in Catskill, NY
• Providers in Catskill, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.