Maryfrances Gonzalez, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006001 Issued in VA

Practice address

7143 Shreve Rd
Falls Church, VA 22043-3011

Phone

(703) 237-2219

NPI assigned

Apr 16, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Axiom Link, Inc.

  • Rehabilitation Clinic/Center
  • Fairfax, VA
  • NPI 1174852867

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1770809618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7143 SHREVE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433011",
            "telephone_number": "703-237-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 SHREVE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433011",
            "telephone_number": "703-237-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARYFRANCES",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Kenneth Gondos, MD
• Andrew Douglas Gong
• Richard Alan Gontang, PHD
• Adalberto Gonzalez, CSA
• Julio Ceasar Gonzalez, M.D.
• Good Beginnings
• Zachary Dale Goodman, M.D., PH.D.
• Sarah Elizabeth Goodrich, DO
• Goodwin House Home and Community Based Services
• Goodwin House Home and Community Based Services

• Speech-Language Pathologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.