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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
35031TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alton Kids Rehab, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Alton, TX · Speech-Language Assistant in Texas

Sources for this page

Verify at the official NPI Registry.