Pamela Maria Gomez, SLPA
Individual provider Active NPI Speech-Language Assistant · Alton, TX
NPI 1669716221 · NPPES record last updated Aug 10, 2018
Key facts
- NPI
- 1669716221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 35031 (TX)
- Practice address
- 3013 E Main Ave Ste E
Alton, TX 78573 - Phone
- (956) 581-7200
- Fax
- (956) 581-7201
- NPI assigned
- Nov 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 35031 | TX | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alton Kids Rehab, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 35031 | TX | Yes |
Addresses
Primary practice location
3013 E Main Ave Ste E
Alton, TX 78573
Mailing address
3013 E Main Ave Ste E
Alton, TX 78573-0932
Phone (956) 581-7200
Other practice location 1
467 Dalobo Blvd
Edinburg, TX 78541-4217
Phone (956) 437-7446
Other providers in Alton, TX
- Lisa Garza
- Valentin Garza
- Generaciones Creciendo Unidas, PLLC
- Generations Growing Together Inc
- GGG General Construction Inc.
- Jessica Gonzalez
- Marysol Gonzalez
- Hilda Gloria Gracia
- Larry Michael Gray
- Growing Generations of South Texas
All providers in Alton, TX · Speech-Language Assistant 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 10, 2018. 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.