Michelle Marie Gonzalez
Individual provider Active NPI Speech-Language Pathologist · Lytle, TX
NPI 1720550460 · NPPES record last updated May 20, 2020
Key facts
- NPI
- 1720550460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 115448 (TX)
- Practice address
- 19965 FM 3175
Lytle, TX 78052-3481 - Phone
- (210) 357-0318
- Fax
- (830) 709-5493
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 115448 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Strong, Inc. | Speech-Language Assistant | Past |
Accepting new patients |
| Speech Strong, Inc. | Speech-Language Assistant | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 115448 | TX | Yes |
Addresses
Primary practice location
19965 FM 3175
Lytle, TX 78052-3481
Mailing address
954 County Road 140
Floresville, TX 78114-4185
Other practice location 1
1816 10th St
Floresville, TX 78114-2715
Phone (210) 802-4808
Other providers in Lytle, TX
- Erlinda Galvan
- Abigail Garcia
- Emma C. Garcia
- Javier Sven Velazquez Garza
- Mark Joseph Gonzales
- Arnold Jay Granato
- Donna Beck Granato
- Jacqueline Grohman
- Felicity Melodee Guajardo
- H-E-B, LP
All providers in Lytle, 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 May 20, 2020. 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.