Individual provider · NPI-1

Samantha Jean Gonzalez, M.S., CCC-SLP

Speech-Language Pathologist, · Prattville, AL

NPI number1992420806
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1992420806
Entity type
Individual (NPI-1)
Name
Samantha Jean Gonzalez
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2022
Certification date
Jan 29, 2025
Last updated
Jan 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

660 Mcqueen Smith Rd N Ste H
Prattville, AL 36066-7559

Phone 334-350-3362

Mailing address

2753 Pony Club Ln
Colorado Springs, CO 80922-3289

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