Jennifer Ann Gonzales, SLP
Individual provider Active NPI Speech-Language Pathologist · Beeville, TX
NPI 1760620942 · NPPES record last updated Jan 27, 2009
Key facts
- NPI
- 1760620942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 103784 (TX)
- Practice address
- 4866 Taylor Dr
Beeville, TX 78102-8467 - Phone
- (361) 354-4387
- NPI assigned
- Jan 27, 2009
- 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 |
|---|---|---|---|
| 103784 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Bend Speech Clinic | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 103784 | TX | Yes |
Addresses
Primary practice location
4866 Taylor Dr
Beeville, TX 78102-8467
Mailing address
4866 Taylor Dr
Beeville, TX 78102-8467
Phone (361) 354-4387
Other providers in Beeville, TX
- Kathryn Garcia
- Lana Marie Garza
- Shelly Lynn Garza
- Gerardo D Quinones DMD PLLC
- Gary A Gonzales
- Heather Denise Gonzalez
- Grady C. Hogue, Jr., M.D., P.a.
- Terry Greenup
- H-E-B, LP
- Haitham Jifi MD PA - Beeville Inc
All providers in Beeville, 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 Jan 27, 2009. 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.