Active NPI
Camille Gonzales, M.A. CCC-SLP
- Speech-Language Pathologist
- Dededo, GU
National Provider Identifier
1568216752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-106
- Practice address
- 344 E Suni Dr
Dededo, GU 96929-5921 - Phone
- (671) 787-0525
- NPI assigned
- Apr 15, 2024
- Last updated
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-106 | GU | Primary |
Addresses
Primary practice location
344 E Suni Dr
Dededo, GU 96929-5921
Mailing address
344 E Suni Dr
Dededo, GU 96929-5921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1568216752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 E SUNI DR",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969295921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 E SUNI DR",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969295921",
"telephone_number": "671-787-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "CAMILLE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GU",
"license": "SLP-106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dededo, GU
- Carmelino L Galang, M.D.
- Edna Ganacias-Acuna, M.D.
- Amy Gates, DC
- George P Macris MD PC
- GNN Corporation (Harmon Drugs Store)
- Jarod Goodrich, DO
- Government of Guam Department of Administration (Department of Public Health and Social Services Central Region Health Center Pharmacy)
- Government of Guam Department of Administration (Guam Department of Public Health Northern Region Community Health Cent)
- Guam Healthcare Development Incorporated (Guam Regional Medical City)
- Guam Healthcare Development Incorporated (GRMC Specialty Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.