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NPI Code Detail

MEDICARE: MS. MARIA CHRISTINE GONZALEZ MA CCC-SLP

MEDICARE:  MS. MARIA CHRISTINE GONZALEZ  MA CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.10246OH

General Provider Information

NPI Number : 1194589226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA CHRISTINE GONZALEZ MA CCC-SLP
Provider Business Mailing Address
First Line : 2860 DETROIT AVE APT 107
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2707
Country : US
Telephone Number : 315-481-7223
Fax Number :
Provider Business Practice Location Address
First Line : 197 N LEAVITT RD
Second Line :
City : AMHERST
State : OH
Zip : 44001-1110
Country : US
Telephone Number : 315-481-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2024
Last Update Date : 02/08/2024

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Directions to “ MS. MARIA CHRISTINE GONZALEZ MA CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.