Rebecca Rae Gonzalez, M.S. CCC-SLP
Speech-Language Pathologist, in Midwest City, OK. Individual provider (NPI-1).
NPI number1164042164
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1164042164
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rebecca Rae Gonzalez
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2020
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 5289 | OK | Yes |
Practice location
9070 Harmony Dr Ste AMidwest City, OK 73130-6257
Phone 405-455-5582
Mailing address
2929 Colonial LnEdmond, OK 73013-6477
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Speech-Language Pathologist providers in Midwest City, OK
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- Kelsey Ellen Case, M.S., CCC-SLPNPI 1629639687
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All 54 Speech-Language Pathologist providers in Midwest City · All 1,676 providers in Midwest City
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